<unavail> in Emmett, ID - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in Emmett, Idaho. The current practice location for is 2001 E Quail Run Rd, Emmett, Idaho. For appointments, you can reach them via phone at (208) 365-7131. The mailing address for is 2001 E Quail Run Rd, Emmett, Idaho and phone number is (208) 365-7131.

is licensed to practice in Idaho (license number M7802). The clinic also participates in the medicare program and its NPI number is 1447629555. 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) 365-7131.

Contact Information


	2001 E Quail Run Rd Emmett ID 83617-5059
	(208) 365-7131
	(208) 365-4464

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	2001 E Quail Run Rd, Emmett, Idaho
Authorized Official Name and Position	Ryan Earl White (CLINIC ADMINISTRATOR)
Authorized Official Contact	2083657131
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
2001 E Quail Run Rd Emmett ID 83617-5059 Ph: (208) 365-7131	2001 E Quail Run Rd Emmett ID 83617-5059 Ph: (208) 365-7131

NPI Details:

NPI Number	1447629555
Provider Enumeration Date	09/18/2015
Last Update Date	01/12/2016

Medicare PECOS Information:

Medicare PECOS PAC ID	1355643271
Medicare Enrollment ID	O20160111000518

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447629555	NPI	-	NPPES
805196400	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	M7802 (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. acts as a billing entity for following providers:

Provider Name	Jennifer L Petrie
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1891879094 PECOS PAC ID: 3072583582 Enrollment ID: I20050215000756

Provider Name	Jessica Gates Seick
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1467049130 PECOS PAC ID: 2365832979 Enrollment ID: I20211213002658

Reviews and Comments

Family Medicine in Emmett, ID

Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2031 E Quail Run Rd, Emmett, ID 83617 Phone: 208-365-2525 Fax: 208-365-2234
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 N Wardwell Ave, Emmett, ID 83617 Phone: 208-365-6311 Fax: 208-365-1003
The Smith Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 N Wardwell Ave, Emmett, ID 83617 Phone: 208-365-6311
Gem Family Practice, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1108 S Washington Ave, Emmett, ID 83617 Phone: 208-365-3455 Fax: 208-365-3422
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 N Wardwell Ave, Emmett, ID 83617 Phone: 208-365-6311
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 S Johns Ave, Emmett, ID 83617 Phone: 208-343-2737 Fax: 208-342-3238

- Medicare Primary Care in Emmett, ID