Sterling Provider Group - Medicare Primary Care in Idaho Falls, ID

Sterling Provider Group is a medicare enrolled primary clinic (Clinic/center - Urgent Care) in Idaho Falls, Idaho. The current practice location for Sterling Provider Group is 740 S Woodruff Ave, Idaho Falls, Idaho. For appointments, you can reach them via phone at (208) 542-9111. The mailing address for Sterling Provider Group is 740 S Woodruff Ave, Idaho Falls, Idaho and phone number is (208) 542-9111.

Sterling Provider Group is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1205300407. 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) 542-9111.

Contact Information

Sterling Provider Group
740 S Woodruff Ave
Idaho Falls
ID 83401-5285
(208) 542-9111
(208) 542-9114

Map and Direction


Primary Care Clinic Profile

Full NameSterling Provider Group
SpecialityClinic/Center
Location740 S Woodruff Ave, Idaho Falls, Idaho
Authorized Official Name and PositionCorbin Bunnage (PROVIDER/OWNER)
Authorized Official Contact2085429111
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sterling Provider Group
740 S Woodruff Ave
Idaho Falls
ID 83401-5285

Ph: (208) 542-9111
Sterling Provider Group
740 S Woodruff Ave
Idaho Falls
ID 83401-5285

Ph: (208) 542-9111

NPI Details:

NPI Number1205300407
Provider Enumeration Date01/22/2019
Last Update Date07/25/2024

Medicare PECOS Information:

Medicare PECOS PAC ID2264773373
Medicare Enrollment IDO20190417001724

Medical Identifiers

Medical identifiers for Sterling Provider Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205300407NPI-NPPES
13D0989496OtherIDCLIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (Not Available))Secondary
261QU0200XClinic/center - Urgent Care (* (Not Available))Primary
261QX0100XClinic/center - Occupational Medicine (* (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. Sterling Provider Group acts as a billing entity for following providers:
Provider NameCynda Le Tomlinson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891703070
PECOS PAC ID: 9638119969
Enrollment ID: I20080619000546
Provider NameSheila Moss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538322060
PECOS PAC ID: 1052487857
Enrollment ID: I20080902000303
Provider NameJeffrey C Haskell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073535506
PECOS PAC ID: 6709067135
Enrollment ID: I20110218000114
Provider NameJohn T Ader
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1992789564
PECOS PAC ID: 5294893152
Enrollment ID: I20111026000806
Provider NameAngela Abel-williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669713442
PECOS PAC ID: 7517282643
Enrollment ID: I20150213000107
Provider NameTrevor D Tredennick
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1649264052
PECOS PAC ID: 0749232643
Enrollment ID: I20160331001356
Provider NameJacob D Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316329220
PECOS PAC ID: 9830403013
Enrollment ID: I20160628002780
Provider NameMatthew F Harris
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1477575041
PECOS PAC ID: 1456258292
Enrollment ID: I20181116002298
Provider NameRenee Zubin Parsons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518508506
PECOS PAC ID: 6406289289
Enrollment ID: I20191220002311
Provider NameZachary Steven Lovell
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1013557511
PECOS PAC ID: 1254767452
Enrollment ID: I20200206002644
Provider NameJi Young An
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205435757
PECOS PAC ID: 5092121798
Enrollment ID: I20210303003226
Provider NameKimberley Odom
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659806941
PECOS PAC ID: 8022407030
Enrollment ID: I20211112001784
Provider NameStephanie Ann Orr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285392720
PECOS PAC ID: 6002046901
Enrollment ID: I20220414002130
Provider NameSamuel Teagan Shaw
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073248787
PECOS PAC ID: 4789051244
Enrollment ID: I20221114000993
Provider NameChristopher S Wiggins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417581190
PECOS PAC ID: 0345670261
Enrollment ID: I20221118001255
Provider NameAmylia Shayne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831853100
PECOS PAC ID: 8325438427
Enrollment ID: I20230321002867
Provider NameKathrin Bodine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124734553
PECOS PAC ID: 2860866290
Enrollment ID: I20230324002184
Provider NameDianna Collins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558738666
PECOS PAC ID: 5890075717
Enrollment ID: I20230607000832
Provider NameAshley Nicole Hall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326722752
PECOS PAC ID: 8123480118
Enrollment ID: I20230808000981
Provider NameAlicia Jorgensen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770262016
PECOS PAC ID: 5890145643
Enrollment ID: I20231220002189
Provider NameSkyler Talbot
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710646120
PECOS PAC ID: 1153717087
Enrollment ID: I20240503001135
Provider NameBrian Maynard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356925820
PECOS PAC ID: 8628465150
Enrollment ID: I20240506000968
Provider NameSylvia Alexandra Benavides
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790287985
PECOS PAC ID: 9335579788
Enrollment ID: I20240515004488
Provider NameAmy Lou Jensen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033993191
PECOS PAC ID: 1254772544
Enrollment ID: I20240530000490
Provider NameRobert Baird
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457048860
PECOS PAC ID: 2062852148
Enrollment ID: I20240604004188

Reviews and Comments


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Phone: 208-524-3416    Fax: 208-524-3138

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.