<unavail> in Moscow, ID - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Moscow, Idaho. The current practice location for is 619 S Washington St, Suite 203, Moscow, Idaho. For appointments, you can reach them via phone at (208) 892-1346. The mailing address for is 619 S Washington St Ste 203, Moscow, Idaho and phone number is (208) 892-1346.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1043492655. 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) 892-1346.

Contact Information


	619 S Washington St Suite 203 Moscow ID 83843-3090
	(208) 892-1346
	(208) 892-8306

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	619 S Washington St, Moscow, Idaho
Authorized Official Name and Position	Robert N Spady (PRESIDENT)
Authorized Official Contact	2088921346
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
619 S Washington St Ste 203 Moscow ID 83843-3063 Ph: (208) 892-1346	619 S Washington St Suite 203 Moscow ID 83843-3090 Ph: (208) 892-1346

NPI Details:

NPI Number	1043492655
Provider Enumeration Date	12/05/2007
Last Update Date	03/11/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	0648356543
Medicare Enrollment ID	O20080318000369

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043492655	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Secondary
261QM1300X	Clinic/center - Multi-specialty	(* (Not Available))	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 Name	Robert Spady
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1053329490 PECOS PAC ID: 7517957137 Enrollment ID: I20080318000591

Reviews and Comments

Clinic/Center in Moscow, ID

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- Medicare Primary Care in Moscow, ID