<unavail> in Moscow, ID - Medicare Internal Medicine

is a medicare enrolled primary clinic (Internal Medicine) in Moscow, Idaho. The current practice location for is 804 S Washington St Ste A, Moscow, Idaho. For appointments, you can reach them via phone at (208) 883-1152. The mailing address for is Po Box 8007, Moscow, Idaho and phone number is (208) 883-1152.

is licensed to practice in Idaho (license number 39). The clinic also participates in the medicare program and its NPI number is 1235680703. 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) 883-1152.

Contact Information


	804 S Washington St Ste A Moscow ID 83843-3182
	(208) 883-1152
	(208) 882-1486

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Internal Medicine
Location	804 S Washington St Ste A, Moscow, Idaho
Authorized Official Name and Position	Patrick Mcconnell (INTERM CFO)
Authorized Official Contact	2088832220
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 8007 Moscow ID 83843-0507 Ph: (208) 883-1152	804 S Washington St Ste A Moscow ID 83843-3182 Ph: (208) 883-1152

NPI Details:

NPI Number	1235680703
Provider Enumeration Date	10/20/2016
Last Update Date	10/24/2016

Medicare PECOS Information:

Medicare PECOS PAC ID	4981984390
Medicare Enrollment ID	O20201020001059

Medical Identifiers

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

Identifier	Type	State	Issuer
1235680703	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	39 (Idaho)	Primary

Reviews and Comments

Internal Medicine in Moscow, ID

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- Medicare Primary Care in Moscow, ID