| Bonners Ferry Family Medicine, Pllc | |
|
6488 Chinook St Bonners Ferry ID 83805-9517 | |
| (208) 946-0572 | |
| Not Available |
| Full Name | Bonners Ferry Family Medicine, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6488 Chinook St, Bonners Ferry, Idaho |
| Authorized Official Name and Position | Troy Geyman (MANAGER) |
| Authorized Official Contact | 2082671788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonners Ferry Family Medicine, Pllc Po Box 208 Bonners Ferry ID 83805-0208 Ph: (208) 267-1788 | Bonners Ferry Family Medicine, Pllc 6488 Chinook St Bonners Ferry ID 83805-9517 Ph: (208) 946-0572 |
| NPI Number | 1922152537 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 12/18/2023 |
| Medicare PECOS PAC ID | 3971604166 |
|---|---|
| Medicare Enrollment ID | O20070718000093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922152537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M8544 (Idaho) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Troy W Geyman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407847379 PECOS PAC ID: 6305755315 Enrollment ID: I20040421001531 |
| Provider Name | Kelli L Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649261538 PECOS PAC ID: 3274585872 Enrollment ID: I20050211000176 |
| Provider Name | Elisabeth Marie Mackey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033665278 PECOS PAC ID: 6406134469 Enrollment ID: I20180614001452 |
| Provider Name | Sherry Lee Bushnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326349911 PECOS PAC ID: 0749521029 Enrollment ID: I20190415001852 |
| Provider Name | Ryan James Gorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922548494 PECOS PAC ID: 5496031239 Enrollment ID: I20190626003450 |
| Provider Name | Lance B Nason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396417150 PECOS PAC ID: 6507235843 Enrollment ID: I20221208002570 |
Main Street Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6641 Kaniksu St, Suite A, Bonners Ferry, ID 83805 Phone: 208-265-3655 Fax: 208-267-3757 | |
Kaniksu Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6615 Comanche St, Bonners Ferry, ID 83805 Phone: 208-267-1718 Fax: 208-267-7739 | |
Cornerstone Urgent Care & Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 David Thompson Dr Ste A, Bonners Ferry, ID 83805 Phone: 208-267-3934 | |
Diehl Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6640 Kaniksu St, Bonners Ferry, ID 83805 Phone: 540-454-1848 | |
Kootenai Tribal Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Circle Drive, Bonners Ferry, ID 83805 Phone: 208-267-5223 Fax: 208-267-8419 | |
Kaniksu Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6635 Comanche St, Bonners Ferry, ID 83805 Phone: 208-267-1718 Fax: 208-267-7739 | |
Boundary Community Clinics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6641 Kaniksu St, Bonners Ferry, ID 83805 Phone: 208-267-3655 Fax: 208-267-3757 |