- Medicare Primary Care in Eagle, ID

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is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Eagle, Idaho. The current practice location for is 1675 E Riverside Dr Ste 200, Eagle, Idaho. For appointments, you can reach them via phone at (888) 253-6598. The mailing address for is 1675 E Riverside Dr Ste 200, Eagle, Idaho and phone number is (888) 253-6598.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1609327022. 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 (888) 253-6598.

Contact Information

1675 E Riverside Dr Ste 200
Eagle
ID 83616-7473
(888) 253-6598
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location1675 E Riverside Dr Ste 200, Eagle, Idaho
Authorized Official Name and PositionLee Johnson (TREASURER)
Authorized Official Contact2084011369
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

1675 E Riverside Dr Ste 200
Eagle
ID 83616-7473

Ph: (888) 253-6598
1675 E Riverside Dr Ste 200
Eagle
ID 83616-7473

Ph: (888) 253-6598

NPI Details:

NPI Number1609327022
Provider Enumeration Date10/20/2016
Last Update Date04/01/2022

Medicare PECOS Information:

Medicare PECOS PAC ID7517248537
Medicare Enrollment IDO20170106000679

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609327022NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (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. acts as a billing entity for following providers:
Provider NameMarlene K Olson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215957733
PECOS PAC ID: 4880631597
Enrollment ID: I20050414000248
Provider NameJoy H Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184850141
PECOS PAC ID: 6800949264
Enrollment ID: I20090803000024
Provider NameDerrel V Walker
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1013208495
PECOS PAC ID: 8628293776
Enrollment ID: I20140702002108
Provider NameChristine A Cooper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891176798
PECOS PAC ID: 1850606369
Enrollment ID: I20150812009000
Provider NameHeidi Sue Winder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154795870
PECOS PAC ID: 6507168408
Enrollment ID: I20160108002478
Provider NameTyler G Jue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033641154
PECOS PAC ID: 9537445374
Enrollment ID: I20170411001127
Provider NameLisa Henderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912419243
PECOS PAC ID: 3870853724
Enrollment ID: I20180214001278
Provider NameVilas Deshpande
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1538157573
PECOS PAC ID: 1951578830
Enrollment ID: I20180801003852
Provider NameTina M Bossolono-williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891264545
PECOS PAC ID: 9638418031
Enrollment ID: I20190301001302
Provider NameJessica I Gratzer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205498201
PECOS PAC ID: 8527390343
Enrollment ID: I20191029001045
Provider NameJeanette Hazel Marie Reiners
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609418722
PECOS PAC ID: 8022443381
Enrollment ID: I20200122002258
Provider NameTim R Schuijt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801550553
PECOS PAC ID: 7113312620
Enrollment ID: I20220321000782
Provider NameMargaret Doyle
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942712500
PECOS PAC ID: 7012390453
Enrollment ID: I20220817001399
Provider NameStevie Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366107245
PECOS PAC ID: 1658755699
Enrollment ID: I20220825000866
Provider NameJon Patxi Criswell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881301075
PECOS PAC ID: 3173995677
Enrollment ID: I20230209002041
Provider NameHeather Crossley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154863827
PECOS PAC ID: 9830554658
Enrollment ID: I20230501002546
Provider NameDavid Douglas Kunz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508098310
PECOS PAC ID: 3577923309
Enrollment ID: I20230712001604
Provider NameGraceful Iris Morris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114759578
PECOS PAC ID: 5698215267
Enrollment ID: I20240910001907

Reviews and Comments


Clinic/Center in Eagle, ID


Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1281 E. Iron Eagle Dr, Eagle, ID 83616
Phone: 208-939-5535    Fax: 208-939-5536

Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1895 Mcgrath Rd, Eagle, ID 83616
Phone: 208-939-8200    Fax: 208-939-8222
Enhanced Aesthetics And Wellness
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 367 S Academy Ln, Eagle, ID 83616
Phone: 985-778-7582    
Family & Functional Medicine Of Idaho Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 450 W State St, Suite 250, Eagle, ID 83616
Phone: 208-947-0925    Fax: 208-947-0926
Linda D Burke Md Pa
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 445 S. Fitness Place, Eagle, ID 83616
Phone: 208-939-2332    Fax: 208-939-7676

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 323 East Riverside Drive, Suite 224, Eagle, ID 83616
Phone: 208-367-5750    Fax: 208-367-5765
River Medical Family Medicine, Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 100 Cottonwood Ct Bldg D, Suite 150, Eagle, ID 83616
Phone: 208-939-3314    Fax: 208-939-3315

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.