| Mr Kyle L Clifford, MD | |
|
2006 Birdie Thompson Drive, Pocatello, ID 83201 | |
| (208) 232-1132 | |
| (208) 232-1134 |
| Full Name | Mr Kyle L Clifford |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 20 Years |
| Location | 2006 Birdie Thompson Drive, Pocatello, 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 |
|---|---|---|---|
| 1841285590 | NPI | - | NPPES |
| 807255600 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M9775 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Encompass Health Home Health Of Eastern Idaho | Idaho falls, ID | Home health agency |
| Bingham Memorial Hospital | Blackfoot, ID | Hospital |
| Portneuf Medical Center | Pocatello, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bmh Inc | 8426149758 | 124 |
| Entity Name | Mountain View Family Medicine, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053483669 PECOS PAC ID: 3274592159 Enrollment ID: O20041006000945 |
| Entity Name | Bmh Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255539193 PECOS PAC ID: 8426149758 Enrollment ID: O20071018000897 |
| Entity Name | Heritage Physician And Resource Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962896027 PECOS PAC ID: 0244531986 Enrollment ID: O20151222001048 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kyle L Clifford, MD 2006 Birdie Thompson Drive, Pocatello, ID 83201 Ph: (208) 232-1132 | Mr Kyle L Clifford, MD 2006 Birdie Thompson Drive, Pocatello, ID 83201 Ph: (208) 232-1132 |
Shayna Larae Harding, APRN Family Medicine Medicare: Medicare Enrolled Practice Location: 1133 Call Creek Dr # A, Pocatello, ID 83201 Phone: 208-232-1000 Fax: 208-232-1006 | |
Cody E Patterson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 151 N 4th Ave, Pocatello, ID 83201 Phone: 208-269-7147 Fax: 208-416-6522 | |
Dr. Bradley Yamashita Beaufort, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-282-4700 Fax: 208-282-4696 | |
Ryan Hudgens, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-232-7862 | |
Shaylor Bringhurst, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-232-7862 | |
Dr. Sharla Clark, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1951 Bench Road, Suite B, Pocatello, ID 83201 Phone: 208-238-1000 Fax: 208-238-0009 | |
Joseph Alfred Enfonde, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-282-3264 |