Dr John Grauke, MD | |
700 S Main St, Moscow, ID 83843 | |
(208) 882-4511 | |
(208) 883-6580 |
Full Name | Dr John Grauke |
---|---|
Gender | Male |
Speciality | Family Medicine - Sleep Medicine |
Location | 700 S Main St, Moscow, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912008079 | NPI | - | NPPES |
003705100 | Medicaid | ID | |
080067036 | Other | ID | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M6614 (Idaho) | Secondary |
207QS1201X | Family Medicine - Sleep Medicine | M-6614 (Idaho) | Primary |
Entity Name | Gritman Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619988144 PECOS PAC ID: 8729070164 Enrollment ID: O20040402001021 |
Mailing Address | Practice Location Address |
---|---|
Dr John Grauke, MD 700 S Main St, Moscow, ID 83843-3046 Ph: (208) 883-6359 | Dr John Grauke, MD 700 S Main St, Moscow, ID 83843 Ph: (208) 882-4511 |
Glenn David Rych, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 623 S Main St, Moscow, ID 83843 Phone: 208-882-2011 Fax: 208-883-1853 | |
Patricia N. Marciano, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 623 S Main St, Moscow, ID 83843 Phone: 208-882-2011 Fax: 208-883-1853 | |
Dr. Matthew Rice, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 803 S Main St Ste 120, Moscow, ID 83843 Phone: 208-848-8300 Fax: 509-444-7806 | |
Dr. Jacques Maurice Bouchard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 623 S Main St Ste 1, Moscow, ID 83843 Phone: 208-882-2011 | |
Christopher Michael Standley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 | |
Helen Marie Shearer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 623 S Main St, Moscow, ID 83843 Phone: 208-882-2011 Fax: 208-883-1853 | |
Vicky M Lott, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 623 South Main Street, Moscow, ID 83843 Phone: 208-882-2011 Fax: 208-883-1853 |