Michelle Eide, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Burley, Idaho. She graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice St Lukes Clinic - Wood River Llc and her current practice location is
1408 Pomerelle Ave Ste H, Burley, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 677-6171.
Michelle Eide is licensed to practice in Idaho (license number M-17825) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821611526.
Physician's Profile
| Full Name | Michelle Eide |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 6 Years |
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| Location | 1408 Pomerelle Ave Ste H, Burley, Idaho |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michelle Eide graduated from medical school in 2020
NPI Data:
- NPI Number: 1821611526
- Provider Enumeration Date: 05/28/2020
- Last Update Date: 08/13/2026
Medicare PECOS Information:
- PECOS PAC ID: 2668897943
- Enrollment ID: I20240904003788
Medical Identifiers
Medical identifiers for Michelle Eide such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821611526 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 125076664 (Illinois) | Secondary |
| 207V00000X | Obstetrics & Gynecology | M-17825 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St Lukes Clinic - Wood River Llc | 3173783818 | 66 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michelle Eide allows following entities to bill medicare on her behalf.
| Entity Name | St Lukes Clinic - Wood River LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972891604
PECOS PAC ID: 3173783818
Enrollment ID: O20120404000474 |
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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. Michelle Eide 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 Address | Practice Location Address |
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Michelle Eide, MD
Po Box 30180,
Salt Lake City, UT 84130-0180
Ph: Not Available | Michelle Eide, MD
1408 Pomerelle Ave Ste H,
Burley, ID 83318-2068
Ph: (208) 677-6171 |
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