Kootenai Urgent Care Llc - Medicare Primary Care in Coeur D Alene, ID

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Kootenai Urgent Care Llc is a medicare enrolled primary clinic (Family Medicine) in Coeur D Alene, Idaho. The current practice location for Kootenai Urgent Care Llc is 700 W Ironwood Dr, Suite 170e, Coeur D Alene, Idaho. For appointments, you can reach them via phone at (208) 667-9110. The mailing address for Kootenai Urgent Care Llc is 700 W Ironwood Dr, Suite 272e, Coeur D Alene, Idaho and phone number is (208) 676-0145.

Kootenai Urgent Care Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1821312356. 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) 667-9110.

Contact Information

Kootenai Urgent Care Llc
700 W Ironwood Dr
Suite 170e
Coeur D Alene
ID 83814-2656
(208) 667-9110
(208) 676-1272

Map and Direction


Primary Care Clinic Profile

Full NameKootenai Urgent Care Llc
SpecialityFamily Medicine
Location700 W Ironwood Dr, Coeur D Alene, Idaho
Authorized Official Name and PositionEric Koelsch (EXECUTIVE DIRECTOR)
Authorized Official Contact2086760145
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kootenai Urgent Care Llc
700 W Ironwood Dr
Suite 272e
Coeur D Alene
ID 83814-2656

Ph: (208) 676-0145		Kootenai Urgent Care Llc
700 W Ironwood Dr
Suite 170e
Coeur D Alene
ID 83814-2656

Ph: (208) 667-9110

NPI Details:

NPI Number1821312356
Provider Enumeration Date03/26/2010
Last Update Date03/22/2012

Medicare PECOS Information:

Medicare PECOS PAC ID1052441946
Medicare Enrollment IDO20100621000358

Medical Identifiers

Medical identifiers for Kootenai Urgent Care Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821312356NPI-NPPES
1369049OtherIDMEDICARE PART B PTAN
DQ3168OtherIDRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Kootenai Urgent Care Llc acts as a billing entity for following providers:
Provider NameJohn D Crites
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912945742
PECOS PAC ID: 3779524103
Enrollment ID: I20050517000102
Provider NameHolly J Bassler
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437103009
PECOS PAC ID: 3173535630
Enrollment ID: I20100217000456
Provider NameDaniel M Henbest
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235540865
PECOS PAC ID: 1254656085
Enrollment ID: I20150218002264
Provider NameBradley Bowman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326070665
PECOS PAC ID: 6103857073
Enrollment ID: I20160720000302
Provider NameHollie Mills
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871905562
PECOS PAC ID: 4385960194
Enrollment ID: I20170802003410
Provider NameRamon A Issa
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891748836
PECOS PAC ID: 9234104910
Enrollment ID: I20180711000474
Provider NameMeredith J Mcalpine
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245694561
PECOS PAC ID: 0244573715
Enrollment ID: I20190801002785
Provider NameKerri Ruddell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174183578
PECOS PAC ID: 6608103254
Enrollment ID: I20190806001635
Provider NameRobin Marie Beard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033751078
PECOS PAC ID: 3870922560
Enrollment ID: I20200331003856
Provider NameVadim Pustynovich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518507086
PECOS PAC ID: 4789004409
Enrollment ID: I20210113002738
Provider NameJustin M Henderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770112138
PECOS PAC ID: 8820410673
Enrollment ID: I20210722002308
Provider NameErica L Magers
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033267182
PECOS PAC ID: 6103828710
Enrollment ID: I20210811001920
Provider NameChristian Menard
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1306082037
PECOS PAC ID: 3577697853
Enrollment ID: I20220419002726
Provider NameJohn B Mitchell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770015471
PECOS PAC ID: 3072885383
Enrollment ID: I20220922002286
Provider NameNicole E Bruey-pernell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386253714
PECOS PAC ID: 7416317318
Enrollment ID: I20230724000796
Provider NameRyan Hale
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861199721
PECOS PAC ID: 8123481900
Enrollment ID: I20230825003286
Provider NameJulius Allan Kaplan
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1265568471
PECOS PAC ID: 8022921196
Enrollment ID: I20230927003729
Provider NameKatherine Baugher
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1891012019
PECOS PAC ID: 2961644190
Enrollment ID: I20231012000483
Provider NameLlyn Rivers Zillich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417732587
PECOS PAC ID: 9234584004
Enrollment ID: I20231013002275
Provider NameYendi Labelle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043838634
PECOS PAC ID: 0244685873
Enrollment ID: I20231017000978
Provider NameCharlene Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144621756
PECOS PAC ID: 8123240926
Enrollment ID: I20231019000571
Provider NameSheila Loman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689223273
PECOS PAC ID: 4688006109
Enrollment ID: I20231107002498

Reviews and Comments


Family Medicine in Coeur D Alene, ID

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Phone: 208-667-4557    Fax: 208-765-2887
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Practice Location: 116 W Neider Ave Unit 116, Coeur D Alene, ID 83815
Phone: 208-664-0444    Fax: 208-664-0446
Head Sport Em Llc
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Practice Location: 980 W Ironwood Dr Ste 206, Coeur D Alene, ID 83814
Phone: 208-512-4334    
After Hours Urgent Care Clinic
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Medicare: Not Enrolled in Medicare
Practice Location: 700 W Ironwood Dr, Suite 170e, Coeur D Alene, ID 83814
Phone: 208-676-1852    
Apple Family Care Pllc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 980 W Ironwood Dr, Suite 201, Coeur D Alene, ID 83814
Phone: 208-292-1315    Fax: 208-765-0627

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.