Black Canyon Medical Group Pllc - Medicare Primary Care in Emmett, ID

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Black Canyon Medical Group Pllc is a medicare enrolled primary clinic (Family Medicine) in Emmett, Idaho. The current practice location for Black Canyon Medical Group Pllc is 426 Highway 16, Emmett, Idaho. For appointments, you can reach them via phone at (208) 365-2735. The mailing address for Black Canyon Medical Group Pllc is 426 Highway 16, Emmett, Idaho and phone number is (208) 365-2735.

Black Canyon Medical Group Pllc is licensed to practice in Idaho (license number M9309). The clinic also participates in the medicare program and its NPI number is 1811419708. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (208) 365-2735.

Contact Information

Black Canyon Medical Group Pllc
426 Highway 16
Emmett
ID 83617-9461
(208) 365-2735
(208) 365-2737

Map and Direction


Primary Care Clinic Profile

Full NameBlack Canyon Medical Group Pllc
SpecialityFamily Medicine
Location426 Highway 16, Emmett, Idaho
Authorized Official Name and PositionTina Mcguffey (OWNER)
Authorized Official Contact2083652735
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Black Canyon Medical Group Pllc
426 Highway 16
Emmett
ID 83617-9461

Ph: (208) 365-2735		Black Canyon Medical Group Pllc
426 Highway 16
Emmett
ID 83617-9461

Ph: (208) 365-2735

NPI Details:

NPI Number1811419708
Provider Enumeration Date07/12/2017
Last Update Date07/21/2022

Medicare PECOS Information:

Medicare PECOS PAC ID8123393071
Medicare Enrollment IDO20171003007502

Medical Identifiers

Medical identifiers for Black Canyon Medical Group Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811419708NPI-NPPES
1346654589MedicaidID
1306873435MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine M9309 (Idaho)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Black Canyon Medical Group Pllc acts as a billing entity for following providers:
Provider NameElmer G Dodge
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508918236
PECOS PAC ID: 4385684299
Enrollment ID: I20050517000711
Provider NameTina A Mcguffey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306873435
PECOS PAC ID: 4486549383
Enrollment ID: I20050802000904
Provider NameDarcy R Cook
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629699251
PECOS PAC ID: 5597186932
Enrollment ID: I20200610002802

Reviews and Comments


Family Medicine in Emmett, ID


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Phone: 208-365-2525    Fax: 208-365-2234

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Practice Location: 1108 S Washington Ave, Emmett, ID 83617
Phone: 208-365-3455    Fax: 208-365-3422

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Medicare: Not Enrolled in Medicare
Practice Location: 119 N Wardwell Ave, Emmett, ID 83617
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Practice Location: 315 S Johns Ave, Emmett, ID 83617
Phone: 208-343-2737    Fax: 208-342-3238

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Medicare: Medicare Enrolled
Practice Location: 2001 E Quail Run Rd, Emmett, ID 83617
Phone: 208-365-7131    Fax: 208-365-4464

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.