- Medicare Primary Care in Weiser, ID

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is a medicare enrolled primary clinic (Family Medicine) in Weiser, Idaho. The current practice location for is 645 E. 5th St., Weiser, Idaho. For appointments, you can reach them via phone at (208) 549-0370. The mailing address for is 645 E. 5th St., Weiser, Idaho and phone number is (208) 549-0370.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1255364030. 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) 549-0370.

Contact Information

645 E. 5th St.
Weiser
ID 83672
(208) 549-0370
(208) 549-4146

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityFamily Medicine
Location645 E. 5th St., Weiser, Idaho
Authorized Official Name and PositionSteven Hale (CEO)
Authorized Official Contact2085494450
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

645 E. 5th St.
Weiser
ID 83672

Ph: (208) 549-0370
645 E. 5th St.
Weiser
ID 83672

Ph: (208) 549-0370

NPI Details:

NPI Number1255364030
Provider Enumeration Date07/07/2006
Last Update Date09/29/2016

Medicare PECOS Information:

Medicare PECOS PAC ID5294704276
Medicare Enrollment IDO20050124000126

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255364030NPI-NPPES
121244MedicaidOR
1235364030MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207XS0106XOrthopaedic Surgery - Hand Surgery (* (Not Available))Secondary
207XX0004XOrthopaedic Surgery - Foot And Ankle Surgery (* (Not Available))Secondary
207XX0005XOrthopaedic Surgery - Sports Medicine (* (Not Available))Secondary
207XX0801XOrthopaedic Surgery - Orthopaedic Trauma (* (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. acts as a billing entity for following providers:
Provider NameMichael A Fuchs
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1588692289
PECOS PAC ID: 6103801998
Enrollment ID: I20040624000436
Provider NameAaron R Gopp
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1144284423
PECOS PAC ID: 6709864622
Enrollment ID: I20040708000671
Provider NameMichael T Fisher
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1134155229
PECOS PAC ID: 3072589282
Enrollment ID: I20040909000093
Provider NameElaine N Daniel
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1720024094
PECOS PAC ID: 2062488273
Enrollment ID: I20040909000106
Provider NameChristopher J Jennings
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1679517320
PECOS PAC ID: 0244290294
Enrollment ID: I20041013001226
Provider NameQuinn A Demordaunt
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1750323226
PECOS PAC ID: 5496717746
Enrollment ID: I20041029000592
Provider NameRebecca M Kirsch
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1255378089
PECOS PAC ID: 7719911528
Enrollment ID: I20050921000743
Provider NameShane K Ball
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1679500557
PECOS PAC ID: 7911985775
Enrollment ID: I20051010000341
Provider NameJohn S Waltz
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1568406130
PECOS PAC ID: 3577589068
Enrollment ID: I20051024000835
Provider NameJason M Wilhelmsen
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1912964404
PECOS PAC ID: 7517932049
Enrollment ID: I20060209000693
Provider NameDaniel D Ririe
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1477506350
PECOS PAC ID: 8022024900
Enrollment ID: I20060301000716
Provider NameSelena J Ankarberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497840292
PECOS PAC ID: 5597775759
Enrollment ID: I20060502000776
Provider NameStuart E Clive
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1053396614
PECOS PAC ID: 4880787191
Enrollment ID: I20070831000529
Provider NameJoshua L Coleman
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1982841573
PECOS PAC ID: 2163587486
Enrollment ID: I20090219000331
Provider NameSteven V Marx
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1124062799
PECOS PAC ID: 4880784834
Enrollment ID: I20090520000020
Provider NameJames A Hill
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1326156282
PECOS PAC ID: 2264503093
Enrollment ID: I20090618000787
Provider NameNicholas A Lazzaro
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1700076619
PECOS PAC ID: 1254499502
Enrollment ID: I20100621000515
Provider NameJohn C Kirkham
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1346457298
PECOS PAC ID: 8527117704
Enrollment ID: I20100621000534
Provider NameCody J Boyce
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1508816471
PECOS PAC ID: 0941358923
Enrollment ID: I20100621000566
Provider NameEinav Shochat
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1316157332
PECOS PAC ID: 2567656150
Enrollment ID: I20110714000862
Provider NameJustin Hamaker
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1396903365
PECOS PAC ID: 1850431370
Enrollment ID: I20110815000626
Provider NameSpencer D Stucki
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1518100759
PECOS PAC ID: 6002960127
Enrollment ID: I20111215000476
Provider NameJeffrey M Pugsley
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1124133004
PECOS PAC ID: 7810169463
Enrollment ID: I20120612000287
Provider NameEvan W Lee
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1740353432
PECOS PAC ID: 7911964325
Enrollment ID: I20120827000278
Provider NameFrederick R Starr
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1023073426
PECOS PAC ID: 6305903121
Enrollment ID: I20121219000192
Provider NameTyler J Harris
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1275794935
PECOS PAC ID: 6305000787
Enrollment ID: I20130710000749
Provider NameRussell W Wright
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1679710123
PECOS PAC ID: 2860648649
Enrollment ID: I20130716000100
Provider NamePaul D Sonntag
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1760682066
PECOS PAC ID: 4688857055
Enrollment ID: I20130716000205
Provider NameWayne M Mortensen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1780878314
PECOS PAC ID: 6305094616
Enrollment ID: I20130821000516
Provider NameBlake D Niederhauser
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1578726683
PECOS PAC ID: 5193870293
Enrollment ID: I20140910000475
Provider NameJordan V Blanchard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356630941
PECOS PAC ID: 2365691870
Enrollment ID: I20141103002412
Provider NameRussell J Watson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1346562113
PECOS PAC ID: 3678609872
Enrollment ID: I20150112001470
Provider NameAndrew A Peterson
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1083842033
PECOS PAC ID: 6406148923
Enrollment ID: I20160701001013
Provider NameJoni E Shriver
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1063755346
PECOS PAC ID: 0244551026
Enrollment ID: I20170221000546
Provider NameTyler G Jue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033641154
PECOS PAC ID: 9537445374
Enrollment ID: I20170411001127
Provider NameBrian L Mcmahan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1043501273
PECOS PAC ID: 7012153828
Enrollment ID: I20170927004139
Provider NameBradley Wescott Terry
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871973198
PECOS PAC ID: 7214223510
Enrollment ID: I20180522000676
Provider NameBenjamin Joseph Morrissey
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1730441536
PECOS PAC ID: 7416189683
Enrollment ID: I20180712003008
Provider NameZachary J Beatty
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1164866489
PECOS PAC ID: 8628373842
Enrollment ID: I20190531000845
Provider NameWhitney Leigh Shofner Michalsky
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1548502446
PECOS PAC ID: 9830406834
Enrollment ID: I20190611002388
Provider NameAndrea K Wheeler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265903983
PECOS PAC ID: 6002143013
Enrollment ID: I20190814002358
Provider NameGeoffry De Gennaro
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1336554740
PECOS PAC ID: 5496971715
Enrollment ID: I20200609002283
Provider NameZachary Robert Berg
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1730597758
PECOS PAC ID: 8729381256
Enrollment ID: I20200609002844
Provider NameAlexander Bradley Griffin
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1114312816
PECOS PAC ID: 7012200496
Enrollment ID: I20210528000922
Provider NameTimur Kotlyar
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1669850590
PECOS PAC ID: 9537469341
Enrollment ID: I20210616002955
Provider NameLea Mackinnon
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1699154542
PECOS PAC ID: 5890087738
Enrollment ID: I20210621000942
Provider NameAmy M Aldrich
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1285840298
PECOS PAC ID: 8628145000
Enrollment ID: I20220127001935
Provider NameMelissa A Hathhorn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124609029
PECOS PAC ID: 6608267927
Enrollment ID: I20220217002030
Provider NameMelissa Catherine Smith
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1750512521
PECOS PAC ID: 4587894373
Enrollment ID: I20220323000946
Provider NameChristopher Liby
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1073826178
PECOS PAC ID: 2668793480
Enrollment ID: I20220531000879
Provider NameJames Katrivesis
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1851687008
PECOS PAC ID: 3779851795
Enrollment ID: I20220531001432
Provider NameCaleb R Sturge
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1093197279
PECOS PAC ID: 1658651013
Enrollment ID: I20220607002675
Provider NameJordan S Jones
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1407219702
PECOS PAC ID: 6103118104
Enrollment ID: I20220610002041
Provider NameSarah Anne Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649988817
PECOS PAC ID: 8224407051
Enrollment ID: I20221216001794
Provider NameMichelle L Hershman
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1144666819
PECOS PAC ID: 9133484157
Enrollment ID: I20221220000828
Provider NameJohn Benjamin Tribble
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1518164474
PECOS PAC ID: 8921134586
Enrollment ID: I20230504001772
Provider NameStephanie Frances Cheng
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1356665285
PECOS PAC ID: 1759527500
Enrollment ID: I20230606002639
Provider NameMatthew Kai Elliott
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1902046162
PECOS PAC ID: 8426281585
Enrollment ID: I20230619001575
Provider NameCarl Odom
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1740523513
PECOS PAC ID: 8628216769
Enrollment ID: I20231027001797
Provider NameTyler Gasser
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1427202373
PECOS PAC ID: 6608091145
Enrollment ID: I20240612004440
Provider NameStephanie Marie Gallegos
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1356973499
PECOS PAC ID: 9537602313
Enrollment ID: I20240621000298
Provider NameAlison Marie Capurro
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1942653589
PECOS PAC ID: 5395271399
Enrollment ID: I20241213003355

Reviews and Comments


Family Medicine in Weiser, ID


Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 360 E Liberty St, Weiser, ID 83672
Phone: 208-414-1124    Fax: 208-414-0947
Two Rivers Medical Clinic, Pa
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 683 E 3rd St, Weiser, ID 83672
Phone: 208-549-0211    Fax: 208-549-0104

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 360 E Liberty St, Weiser, ID 83672
Phone: 208-414-1124    Fax: 208-414-0947
Family Medical Center Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 360 E Liberty St, Weiser, ID 83672
Phone: 208-414-1124    Fax: 208-414-0947

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.