Direct Doctor Care Pllc is a medicare enrolled primary clinic (Family Medicine) in Middleton, Idaho. The current practice location for Direct Doctor Care Pllc is 509 S Middleton Rd Ste 105, Middleton, Idaho. For appointments, you can reach them via phone at
(208) 668-2080. The mailing address for Direct Doctor Care Pllc is 509 S Middleton Rd Ste 105, Middleton, Idaho and phone number is (208) 965-4899.
Direct Doctor Care Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1871112094. 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) 668-2080.
Primary Care Clinic Profile
| Full Name | Direct Doctor Care Pllc |
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| Speciality | Family Medicine |
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| Location | 509 S Middleton Rd Ste 105, Middleton, Idaho |
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| Authorized Official Name and Position | Roger Wyatt (OWNER) |
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| Authorized Official Contact | 2089654899 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Direct Doctor Care Pllc
509 S Middleton Rd Ste 105
Middleton
ID 83644-6047
Ph: (208) 965-4899 | Direct Doctor Care Pllc
509 S Middleton Rd Ste 105
Middleton
ID 83644-6047
Ph: (208) 668-2080 |
NPI Details:
| NPI Number | 1871112094 |
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| Provider Enumeration Date | 04/09/2020 |
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| Last Update Date | 04/09/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 2264863281 |
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| Medicare Enrollment ID | O20200507001024 |
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Medical Identifiers
Medical identifiers for Direct Doctor Care Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871112094 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Direct Doctor Care Pllc acts as a billing entity for following providers:
| Provider Name | Roger Tracy Wyatt |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1326305004
PECOS PAC ID: 6800101213
Enrollment ID: I20150813011976 |
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