Seasons Medical, Pllc | |
37 S 2nd E Rexburg ID 83440 | |
(208) 356-0234 | |
(208) 656-0365 |
Full Name | Seasons Medical, Pllc |
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Speciality | Obstetrics & Gynecology |
Location | 37 S 2nd E, Rexburg, Idaho |
Authorized Official Name and Position | Geoff Schwiermann (ADMINISTRATOR) |
Authorized Official Contact | 2083560234 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Seasons Medical, Pllc 37 S 2nd E Rexburg ID 83440-1906 Ph: (208) 356-0234 | Seasons Medical, Pllc 37 S 2nd E Rexburg ID 83440 Ph: (208) 356-0234 |
NPI Number | 1174699722 |
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Provider Enumeration Date | 11/27/2006 |
Last Update Date | 07/18/2018 |
Medicare PECOS PAC ID | 8820125040 |
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Medicare Enrollment ID | O20100420000846 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174699722 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
Provider Name | Michael Packer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659454734 PECOS PAC ID: 9436142221 Enrollment ID: I20040506001435 |
Provider Name | Scott Russel Hardy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750329629 PECOS PAC ID: 7810994779 Enrollment ID: I20061107000265 |
Provider Name | Steven H Lofgran |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154524734 PECOS PAC ID: 2860575180 Enrollment ID: I20080212000510 |
Provider Name | Linda R Webster |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558662064 PECOS PAC ID: 9638359458 Enrollment ID: I20110211000365 |
Provider Name | Cameron J Codd |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1912150772 PECOS PAC ID: 6406015080 Enrollment ID: I20120319000206 |
Provider Name | Brian P Beesley |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1205129897 PECOS PAC ID: 1658523287 Enrollment ID: I20140923001377 |
Provider Name | Nicholas Merrill Packer |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1891086377 PECOS PAC ID: 6709108228 Enrollment ID: I20150814014284 |
Provider Name | Marie Horne |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1881059103 PECOS PAC ID: 3375840929 Enrollment ID: I20160324001541 |
Northridge Internal Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 36 Professional Plz, Ste-102, Rexburg, ID 83440 Phone: 208-656-8456 Fax: 208-656-8444 | |
Seasons Medical By Madison Memorial Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37 S 2nd E, Rexburg, ID 83440 Phone: 208-356-0234 | |
Rexburg Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-356-5401 Fax: 208-356-3111 | |
Grand Peaks Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 72 S 1st E Ste 101, Rexburg, ID 83440 Phone: 208-356-4900 Fax: 208-356-3724 | |
Madison Memorial Rexburg Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-356-5401 Fax: 208-356-3111 | |
Teton Medical Group Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 32 W 1st S, Rexburg, ID 83440 Phone: 208-356-7585 Fax: 208-356-7566 |