Garden Valley Family Medicine Pc is a medicare enrolled primary clinic (Family Medicine) in Garden Valley, Idaho. The current practice location for Garden Valley Family Medicine Pc is 856 Banks Lowman Road, Garden Valley, Idaho. For appointments, you can reach them via phone at
(208) 462-3533. The mailing address for Garden Valley Family Medicine Pc is Po Box 270, Garden Valley, Idaho and phone number is (208) 462-3533.
Garden Valley Family Medicine Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1245312750. 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) 462-3533.
Primary Care Clinic Profile
| Full Name | Garden Valley Family Medicine Pc |
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| Speciality | Family Medicine |
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| Location | 856 Banks Lowman Road, Garden Valley, Idaho |
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| Authorized Official Name and Position | Michael R Koenig (OWNER) |
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| Authorized Official Contact | 2084623533 |
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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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Garden Valley Family Medicine Pc
Po Box 270
Garden Valley
ID 83622-0270
Ph: (208) 462-3533 | Garden Valley Family Medicine Pc
856 Banks Lowman Road
Garden Valley
ID 83622
Ph: (208) 462-3533 |
NPI Details:
| NPI Number | 1245312750 |
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| Provider Enumeration Date | 10/20/2006 |
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| Last Update Date | 03/17/2018 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 0648296814 |
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| Medicare Enrollment ID | O20051017000994 |
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Medical Identifiers
Medical identifiers for Garden Valley Family Medicine Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245312750 | 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.
Garden Valley Family Medicine Pc acts as a billing entity for following providers:
| Provider Name | Michael R Koenig |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1851396386
PECOS PAC ID: 6002832276
Enrollment ID: I20051017000992 |
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