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

is a medicare enrolled primary clinic (Clinic/center) in Rigby, Idaho. The current practice location for is 205 Stockham Blvd Ste C-2, Rigby, Idaho. For appointments, you can reach them via phone at (208) 417-4899. The mailing address for is 205 Stockham Blvd Ste C-2, Rigby, Idaho and phone number is (208) 417-4899.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1124807011. 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) 417-4899.

Contact Information


	205 Stockham Blvd Ste C-2 Rigby ID 83442-5285
	(208) 417-4899
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	205 Stockham Blvd Ste C-2, Rigby, Idaho
Authorized Official Name and Position	Jeff Mcclure (OWNER)
Authorized Official Contact	5095477088
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
205 Stockham Blvd Ste C-2 Rigby ID 83442-5285 Ph: (208) 417-4899	205 Stockham Blvd Ste C-2 Rigby ID 83442-5285 Ph: (208) 417-4899

NPI Details:

NPI Number	1124807011
Provider Enumeration Date	09/28/2023
Last Update Date	04/23/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	6002357555
Medicare Enrollment ID	O20240924002143

Medical Identifiers

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

Identifier	Type	State	Issuer
1124807011	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (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	James Mccoy
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1790211092 PECOS PAC ID: 4284988460 Enrollment ID: I20220816002627

Reviews and Comments

Clinic/Center in Rigby, ID

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- Medicare Primary Care in Rigby, ID