| Eric Gilbreath Md Pa | |
|
413 Allumbaugh St Ste 101 Boise ID 83704-9212 | |
| (208) 323-1125 | |
| Not Available |
| Full Name | Eric Gilbreath Md Pa |
|---|---|
| Speciality | Psychologist |
| Location | 413 Allumbaugh St, Boise, Idaho |
| Authorized Official Name and Position | Tricia Sterling (ACCOUNTS MANAGER) |
| Authorized Official Contact | 2083231125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Gilbreath Md Pa 413 Allumbaugh St Ste 101 Boise ID 83704-9212 Ph: (208) 323-1125 | Eric Gilbreath Md Pa 413 Allumbaugh St Ste 101 Boise ID 83704-9212 Ph: (208) 323-1125 |
| NPI Number | 1447495114 |
|---|---|
| Provider Enumeration Date | 12/10/2008 |
| Last Update Date | 12/10/2008 |
| Medicare PECOS PAC ID | 9436216280 |
|---|---|
| Medicare Enrollment ID | O20090321000012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447495114 | NPI | - | NPPES |
| 806527400 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | M8740 (Idaho) | Primary |
| Provider Name | Eric C Gilbreath |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548290711 PECOS PAC ID: 9931123460 Enrollment ID: I20060123000872 |
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