<unavail> in Eagle, ID - Medicare Internal Medicine

is a medicare enrolled primary clinic (Internal Medicine) in Eagle, Idaho. The current practice location for is 1139 E. Winding Creek Dr, Eagle, Idaho. For appointments, you can reach them via phone at (208) 938-8887. The mailing address for is 502 E. Two Rivers Dr, Eagle, Idaho and phone number is (208) 559-3303.

is licensed to practice in Idaho (license number M8345). The clinic also participates in the medicare program and its NPI number is 1275630733. 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) 938-8887.

Contact Information


	1139 E. Winding Creek Dr Eagle ID 83616
	(208) 938-8887
	(208) 938-8897

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Internal Medicine
Location	1139 E. Winding Creek Dr, Eagle, Idaho
Authorized Official Name and Position	Marion Lynn Luque (OWNER)
Authorized Official Contact	2089388887
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
502 E. Two Rivers Dr Eagle ID 83616 Ph: (208) 559-3303	1139 E. Winding Creek Dr Eagle ID 83616 Ph: (208) 938-8887

NPI Details:

NPI Number	1275630733
Provider Enumeration Date	09/19/2006
Last Update Date	04/07/2014

Medicare PECOS Information:

Medicare PECOS PAC ID	2062417876
Medicare Enrollment ID	O20060929000461

Medical Identifiers

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

Identifier	Type	State	Issuer
1275630733	NPI	-	NPPES
805377200	Medicaid	ID
M8345	Other	ID	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	M8345 (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 Name	Marion L Luque
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1124088331 PECOS PAC ID: 5395715726 Enrollment ID: I20040730001101

Reviews and Comments

Internal Medicine in Eagle, ID

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- Medicare Primary Care in Eagle, ID