| Dr David G Burica, MD | |
|
1000 State St, Mccall, ID 83638-3704 | |
| (208) 634-1776 | |
| (208) 634-3873 |
| Full Name | Dr David G Burica |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1000 State St, Mccall, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265599096 | NPI | - | NPPES |
| 006078 | Other | BLUE CROSS OF IDAHO | |
| 003580300 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M5059 (Idaho) | Primary |
| Entity Name | St Lukes Clinic - Mccall Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881982510 PECOS PAC ID: 7618127994 Enrollment ID: O20121120000225 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David G Burica, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222 | Dr David G Burica, MD 1000 State St, Mccall, ID 83638-3704 Ph: (208) 634-1776 |
Marcia L. Witte, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 209 Forest St, Mccall, ID 83638 Phone: 208-634-1776 Fax: 208-634-3873 | |
Margaret Ann Rosenthal, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 703 N 1st St, Mccall, ID 83638 Phone: 208-630-3023 | |
Dr. Sarah A Jessup, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 703 N 1st St, Mccall, ID 83638 Phone: 208-630-3023 Fax: 208-634-2174 |