Coeur D Alene Primary Care Pllc - Medicare Primary Care in Coeur D Alene, ID

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Coeur D Alene Primary Care Pllc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Coeur D Alene, Idaho. The current practice location for Coeur D Alene Primary Care Pllc is 920 W Ironwood Dr Ste 200, Coeur D Alene, Idaho. For appointments, you can reach them via phone at (208) 667-2600. The mailing address for Coeur D Alene Primary Care Pllc is 920 W Ironwood Dr Ste 200, Coeur D Alene, Idaho and phone number is (208) 667-2600.

Coeur D Alene Primary Care Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1922431360. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (208) 667-2600.

Contact Information

Coeur D Alene Primary Care Pllc
920 W Ironwood Dr Ste 200
Coeur D Alene
ID 83814-2643
(208) 667-2600
(208) 625-2051

Map and Direction


Primary Care Clinic Profile

Full NameCoeur D Alene Primary Care Pllc
SpecialityClinic/Center
Location920 W Ironwood Dr Ste 200, Coeur D Alene, Idaho
Authorized Official Name and PositionBrandon Rice (OWNER)
Authorized Official Contact2086672600
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Coeur D Alene Primary Care Pllc
920 W Ironwood Dr Ste 200
Coeur D Alene
ID 83814-2643

Ph: (208) 667-2600		Coeur D Alene Primary Care Pllc
920 W Ironwood Dr Ste 200
Coeur D Alene
ID 83814-2643

Ph: (208) 667-2600

NPI Details:

NPI Number1922431360
Provider Enumeration Date08/20/2013
Last Update Date12/29/2022

Medicare PECOS Information:

Medicare PECOS PAC ID8729216171
Medicare Enrollment IDO20140111000034

Medical Identifiers

Medical identifiers for Coeur D Alene Primary Care Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922431360NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (Not Available))Primary
363A00000XPhysician Assistant PA-431 (Idaho)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Coeur D Alene Primary Care Pllc acts as a billing entity for following providers:
Provider NameSarah Jessy Lorion
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619990017
PECOS PAC ID: 1355329988
Enrollment ID: I20040710000151
Provider NameChristy L Sutton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457622078
PECOS PAC ID: 5597905042
Enrollment ID: I20130708000089
Provider NameRobert Lakko
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174756340
PECOS PAC ID: 2062648132
Enrollment ID: I20151007000620
Provider NameTeirza D Bristow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700363348
PECOS PAC ID: 7315290830
Enrollment ID: I20181031001602
Provider NameSuzanne M Decker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326373457
PECOS PAC ID: 9436281409
Enrollment ID: I20210929001993
Provider NamePatricia Ann Woods
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558032300
PECOS PAC ID: 6103218532
Enrollment ID: I20220117000357
Provider NameMckenzie H Gale
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578233714
PECOS PAC ID: 4486031689
Enrollment ID: I20220509001908
Provider NameZachary Daniel Harman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427725092
PECOS PAC ID: 7618320508
Enrollment ID: I20240126002402
Provider NameKristy Graham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134749898
PECOS PAC ID: 4880011378
Enrollment ID: I20250324002681
Provider NameSharon Kay Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093564114
PECOS PAC ID: 1456860386
Enrollment ID: I20250603001013

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.