- Medicare Primary Care in Kooskia, ID

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is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Kooskia, Idaho. The current practice location for is 22 N Main St, Kooskia, Idaho. For appointments, you can reach them via phone at (208) 926-4776. The mailing address for is 607 W Main St, Grangeville, Idaho and phone number is (208) 983-1700.

is licensed to practice in Idaho (license number 18). The clinic also participates in the medicare program and its NPI number is 1497044333. 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) 926-4776.

Contact Information

22 N Main St
Kooskia
ID 83539
(208) 926-4776
(208) 926-4696

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location22 N Main St, Kooskia, Idaho
Authorized Official Name and PositionBetty Watson (CFO)
Authorized Official Contact2089831700
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

607 W Main St
Grangeville
ID 83530-1345

Ph: (208) 983-1700
22 N Main St
Kooskia
ID 83539

Ph: (208) 926-4776

NPI Details:

NPI Number1497044333
Provider Enumeration Date03/31/2011
Last Update Date08/02/2022

Medicare PECOS Information:

Medicare PECOS PAC ID6800707530
Medicare Enrollment IDO20110324000253

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497044333NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care 18 (Idaho)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameJames Shen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518306372
PECOS PAC ID: 0749506038
Enrollment ID: I20221018002223

Reviews and Comments


Clinic/Center in Kooskia, ID


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.