| Dr Michael Burrow, MD | |
|
5620 Harvest Springs Blvd, Chubbuck, ID 83202-1061 | |
| (208) 232-4133 | |
| (208) 529-6602 |
| Full Name | Dr Michael Burrow |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 6 Years |
| Location | 5620 Harvest Springs Blvd, Chubbuck, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124480868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | M17832 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Portneuf Medical Center | Pocatello, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Eye Care Of Eastern Idaho | 2466611744 | 11 |
| Entity Name | Premier Eye Care of Eastern Idaho |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790052603 PECOS PAC ID: 2466611744 Enrollment ID: O20120306000360 |
| Entity Name | Henrys Fork Surgery Center PLLC |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1235768490 PECOS PAC ID: 3375955388 Enrollment ID: O20250619001417 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Burrow, MD 2100 Providence Way, Idaho Falls, ID 83404-4951 Ph: (208) 529-6600 | Dr Michael Burrow, MD 5620 Harvest Springs Blvd, Chubbuck, ID 83202-1061 Ph: (208) 232-4133 |
Samuel Welling Beckstead, DO Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5620 Harvest Springs Blvd, Chubbuck, ID 83202 Phone: 208-232-4133 Fax: 208-529-6602 |
Mr. Robert Randall Jones Jr., MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5620 Harvest Springs Blvd, Chubbuck, ID 83202 Phone: 208-232-4133 Fax: 208-529-6602 |