Dr Ivan D Petrich, DO - Medicare Family Medicine in Mountain Home Afb, ID

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Dr Ivan D Petrich, DO is a medicare enrolled "Family Medicine" physician in Mountain Home Afb, Idaho. His current practice location is 90 Hope Dr, Mountain Home Afb, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 828-7900.

Dr Ivan D Petrich is licensed to practice in North Carolina (license number 2019-01392) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639527096.

Contact Information

Dr Ivan D Petrich, DO
90 Hope Dr,
Mountain Home Afb, ID 83648-1057
(208) 828-7900
Not Available

Map and Direction




Physician's Profile

Full NameDr Ivan D Petrich
GenderMale
SpecialityFamily Medicine
Location90 Hope Dr, Mountain Home Afb, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639527096
  • Provider Enumeration Date: 05/26/2016
  • Last Update Date: 09/12/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2668765660
  • Enrollment ID: I20160728001689

Medical Identifiers

Medical identifiers for Dr Ivan D Petrich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639527096NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083A0100XPreventive Medicine - Aerospace Medicine 2019-01392 (North Carolina)Secondary
207Q00000XFamily Medicine 2019-01392 (North Carolina)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. Dr Ivan D Petrich is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ivan D Petrich, DO
90 Hope Dr,
Mountain Home Afb, ID 83648-1057

Ph: (208) 828-7900		Dr Ivan D Petrich, DO
90 Hope Dr,
Mountain Home Afb, ID 83648-1057

Ph: (208) 828-7900

Reviews and Comments


Family Medicine Doctors in Mountain Home Afb, ID

Dr. Nathan Tuaefu Palmer, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 90 Hope Dr, Mountain Home Afb, ID 83648
Phone: 907-903-9212    
Andrew Alton,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648
Phone: 280-828-6806    
Dr. Matthew Christian Brown, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648
Phone: 208-828-7401    
Dr. Charlie Ann Collenborne, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648
Phone: 208-828-7281    
Andrew James Magyan, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648
Phone: 208-828-7503    
Dr. Dakota T Freve, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648
Phone: 208-828-7401    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.