| Associates In Family Practice Pa | |
|
425 Idaho St Gooding ID 83330 | |
| (208) 934-5900 | |
| (208) 934-5719 |
| Full Name | Associates In Family Practice Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 425 Idaho St, Gooding, Idaho |
| Authorized Official Name and Position | Susie Dolieslager (OFFICE MANAGER) |
| Authorized Official Contact | 2089345900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associates In Family Practice Pa 640 Frogs Landing Hagerman ID 83332 Ph: (208) 837-6161 | Associates In Family Practice Pa 425 Idaho St Gooding ID 83330 Ph: (208) 934-5900 |
| NPI Number | 1881659357 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2163330325 |
|---|---|
| Medicare Enrollment ID | O20031107000393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881659357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Florian J Gies |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598729824 PECOS PAC ID: 3971411133 Enrollment ID: I20031112000139 |
| Provider Name | Samantha A Marshall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467410837 PECOS PAC ID: 7214060532 Enrollment ID: I20100805001173 |
| Provider Name | James H Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720162365 PECOS PAC ID: 4486620960 Enrollment ID: I20101208000499 |
| Provider Name | Mark D Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497719728 PECOS PAC ID: 5799945150 Enrollment ID: I20120322000523 |
| Provider Name | Travis B Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861927634 PECOS PAC ID: 3971850603 Enrollment ID: I20180725003775 |
Associates In Family Practice Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 425 Idaho St, Gooding, ID 83330 Phone: 208-934-5900 Fax: 208-934-5719 | |
Associates In Family Practice Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 425 Idaho St, Gooding, ID 83330 Phone: 208-934-5900 Fax: 208-934-5719 | |
Gooding Family Physicians Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 4th Ave W, Gooding, ID 83330 Phone: 208-934-4446 Fax: 208-934-4442 | |
North Canyon Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 267 N. Canyon Drive, Gooding, ID 83330 Phone: 208-934-4446 Fax: 208-934-4442 |