Thomas E Archie Jr, MD is a
Family Medicine based in Hailey, Idaho. Thomas E Archie Jr is licensed to practice in Idaho (license number M10114) and his current practice location is
1450 Aviation Dr, Suite 100, Hailey, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 788-3434.
NPI number for Thomas E Archie Jr is 1023073897 and his current mailing address is 190 E Bannock St, Boise, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023073897.
Healthcare Provider's Profile
| Full Name | Thomas E Archie Jr |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine |
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| Location | 1450 Aviation Dr, Hailey, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023073897
- Provider Enumeration Date: 04/17/2006
- Last Update Date: 07/24/2013
Medical Identifiers
Medical identifiers for Thomas E Archie Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023073897 | NPI | - | NPPES |
| P00697901 | Other | ID | MCRR |
| 807891600 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | M10114 (Idaho) | Secondary |
| 207Q00000X | Family Medicine | M10114 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thomas E Archie Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Thomas E Archie Jr, MD
190 E Bannock St,
Boise, ID 83712-6241
Ph: (208) 381-2222 | Thomas E Archie Jr, MD
1450 Aviation Dr, Suite 100,
Hailey, ID 83333-8785
Ph: (208) 788-3434 |
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