| Fall River Medical, Pllc | |
|
21 Winn Dr Rexburg ID 83440 | |
| (208) 881-5222 | |
| (877) 441-4715 |
| Full Name | Fall River Medical, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 21 Winn Dr, Rexburg, Idaho |
| Authorized Official Name and Position | Austin C Gillette (OWNER) |
| Authorized Official Contact | 2088815222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fall River Medical, Pllc 21 Winn Dr Rexburg ID 83440-5277 Ph: (208) 220-1057 | Fall River Medical, Pllc 21 Winn Dr Rexburg ID 83440 Ph: (208) 881-5222 |
| NPI Number | 1457698987 |
|---|---|
| Provider Enumeration Date | 01/03/2013 |
| Last Update Date | 11/19/2019 |
| Medicare PECOS PAC ID | 4981846698 |
|---|---|
| Medicare Enrollment ID | O20130808000831 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457698987 | NPI | - | NPPES |
| 1083810287 | Other | ID | NPI |
| 1972709103 | Other | ID | NPI |
| Provider Name | Kelly L Dustin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114957362 PECOS PAC ID: 2264583459 Enrollment ID: I20090629000517 |
| Provider Name | Austin C Gillette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083810287 PECOS PAC ID: 6800912288 Enrollment ID: I20100922000825 |
Northridge Internal Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 36 Professional Plz, Ste-102, Rexburg, ID 83440 Phone: 208-656-8456 Fax: 208-656-8444 | |
Seasons Medical By Madison Memorial Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37 S 2nd E, Rexburg, ID 83440 Phone: 208-356-0234 | |
Rexburg Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-356-5401 Fax: 208-356-3111 | |
Grand Peaks Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 72 S 1st E Ste 101, Rexburg, ID 83440 Phone: 208-356-4900 Fax: 208-356-3724 | |
Madison Memorial Rexburg Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-356-5401 Fax: 208-356-3111 | |
Teton Medical Group Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 32 W 1st S, Rexburg, ID 83440 Phone: 208-356-7585 Fax: 208-356-7566 | |
Seasons Medical, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 37 S 2nd E, Rexburg, ID 83440 Phone: 208-356-0234 Fax: 208-656-0365 |