| Susan Melchiore, MD | |
|
1919 Lincoln Way Ste 110, Coeur D Alene, ID 83814-2527 | |
| (208) 625-4515 | |
| (208) 625-4516 |
| Full Name | Susan Melchiore |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 38 Years |
| Location | 1919 Lincoln Way Ste 110, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588605620 | NPI | - | NPPES |
| P00450794 | Other | MEDICARE RAILROAD CARRIER | |
| 002789700 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M-6934 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eden Home Health | Sandpoint, ID | Home health agency |
| Ability Home Health | Coeur d alene, ID | Home health agency |
| Kootenai Health | Coeur d'alene, ID | Hospital |
| Bonner General Hospital | Sandpoint, ID | Hospital |
| Northwest Specialty Hospital | Post falls, ID | Hospital |
| Ivy Court | Coeur d'alene, ID | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kootenai Health Inc | 1355792276 | 382 |
| Entity Name | Kootenai Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235288655 PECOS PAC ID: 4789641598 Enrollment ID: O20041214000230 |
| Entity Name | Daiya Healthcare Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477027381 PECOS PAC ID: 6002158615 Enrollment ID: O20200626002315 |
| Entity Name | Keystone Center For Geriatrics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376211268 PECOS PAC ID: 7618365792 Enrollment ID: O20211021002038 |
| Entity Name | Kootenai Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Melchiore, MD 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 625-5059 | Susan Melchiore, MD 1919 Lincoln Way Ste 110, Coeur D Alene, ID 83814-2527 Ph: (208) 625-4515 |
Diana Johns, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2248 W Rosebud Ln, Coeur D Alene, ID 83814 Phone: 907-687-6248 | |
Marc Olav Granrud, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-6900 Fax: 208-625-6710 | |
Kevin Nathaniel Brown, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-6900 Fax: 208-625-6910 | |
Edward J Macinerney, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 320, Coeur D Alene, ID 83814 Phone: 208-625-5250 Fax: 208-625-5251 | |
Pablo Fernando Michel Sanchez, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 350, Coeur D Alene, ID 83814 Phone: 208-625-5250 Fax: 208-625-5251 | |
Dr. Amanda Rose Liggett, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 378, Coeur D Alene, ID 83814 Phone: 208-625-3555 Fax: 208-765-1494 | |
Dr. Robert Scoggins, M.D., PH.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 378, Coeur D Alene, ID 83814 Phone: 208-765-1252 Fax: 208-765-1494 |