| Medical Consulting Services, Llc | |
|
3023 E Copper Point Dr Ste 110 Meridian ID 83642 | |
| (208) 514-0518 | |
| (208) 493-8759 |
| Full Name | Medical Consulting Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3023 E Copper Point Dr, Meridian, Idaho |
| Authorized Official Name and Position | John Casper (OWNER) |
| Authorized Official Contact | 2085140518 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Consulting Services, Llc 3023 E Copper Point Dr Ste 110 Meridian ID 83642-9290 Ph: (208) 514-0518 | Medical Consulting Services, Llc 3023 E Copper Point Dr Ste 110 Meridian ID 83642 Ph: (208) 514-0518 |
| NPI Number | 1477086932 |
|---|---|
| Provider Enumeration Date | 04/11/2017 |
| Last Update Date | 06/27/2018 |
| Medicare PECOS PAC ID | 4082978754 |
|---|---|
| Medicare Enrollment ID | O20180503002619 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477086932 | NPI | - | NPPES |
| 1275642191 | Other | ID | NPI |
| 1275642191 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | M4860 (Idaho) | Secondary |
| 261QH0100X | Clinic/center - Health Service | M4860 (Idaho) | Primary |
| Provider Name | John B Casper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275642191 PECOS PAC ID: 7012999170 Enrollment ID: I20040602001327 |
| Provider Name | Faith Marie Sawyer Casper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326389966 PECOS PAC ID: 5597020149 Enrollment ID: I20240326003792 |
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