| Hayden Lake Family Physicians | |
|
8181 Cornerstone Dr Hayden ID 83835 | |
| (208) 772-0785 | |
| (208) 762-2704 |
| Full Name | Hayden Lake Family Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 8181 Cornerstone Dr, Hayden, Idaho |
| Authorized Official Name and Position | Mark P Borsheim (OWNER PHYSICIAN) |
| Authorized Official Contact | 2087720785 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hayden Lake Family Physicians 8181 Cornerstone Dr Hayden ID 83835 Ph: (208) 772-0785 | Hayden Lake Family Physicians 8181 Cornerstone Dr Hayden ID 83835 Ph: (208) 772-0785 |
| NPI Number | 1639152739 |
|---|---|
| Provider Enumeration Date | 11/22/2005 |
| Last Update Date | 08/07/2008 |
| Medicare PECOS PAC ID | 6305812017 |
|---|---|
| Medicare Enrollment ID | O20040903000571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639152739 | NPI | - | NPPES |
| 805031100 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Arlie E Esau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487637666 PECOS PAC ID: 9436042041 Enrollment ID: I20040206000375 |
| Provider Name | Brad W Brososky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922081041 PECOS PAC ID: 0648163253 Enrollment ID: I20040206000418 |
| Provider Name | Terrance A Riske |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932182110 PECOS PAC ID: 7416840947 Enrollment ID: I20040206000567 |
| Provider Name | Mark P Borsheim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396728135 PECOS PAC ID: 0648166264 Enrollment ID: I20040223000260 |
| Provider Name | Renee Michelle Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376902437 PECOS PAC ID: 2769788942 Enrollment ID: I20160315000559 |
| Provider Name | Vanessa Graves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730509258 PECOS PAC ID: 9335463256 Enrollment ID: I20170616000595 |
| Provider Name | Laurisa Webster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205247269 PECOS PAC ID: 8123344090 Enrollment ID: I20170713002734 |
| Provider Name | Francis Detar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417498247 PECOS PAC ID: 1254601214 Enrollment ID: I20170724003411 |
| Provider Name | Joanna Darakjy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184349458 PECOS PAC ID: 3274903570 Enrollment ID: I20230103000645 |
| Provider Name | Rachel Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255118196 PECOS PAC ID: 5991151557 Enrollment ID: I20231102001605 |
Family Medical Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 265 W Prairie Shopping Ctr, Hayden, ID 83835 Phone: 208-772-7850 Fax: 208-772-2313 | |
We Care Wellness, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 827 W Prairie Ave, Hayden, ID 83835 Phone: 208-660-9378 Fax: 208-759-8527 | |
Body Tech Massage & Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2151 W Hayden Ave, Hayden, ID 83835 Phone: 208-762-6772 | |
Spear Tms Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9321 N Government Way Ste E, Hayden, ID 83835 Phone: 208-502-2744 Fax: 208-635-0135 | |
Brown Family Chiropractic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 705 E Prairie Ave Ste B, Hayden, ID 83835 Phone: 208-518-8297 | |
Caring Physician's Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8827 N Government Way Unit 2, Hayden, ID 83835 Phone: 208-762-5577 Fax: 208-762-5520 |