Crmc Family Medicine - Medicare Primary Care in Burley, ID

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Crmc Family Medicine is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Burley, Idaho. The current practice location for Crmc Family Medicine is 1338 Hiland Ave, Burley, Idaho. For appointments, you can reach them via phone at (801) 442-1400. The mailing address for Crmc Family Medicine is Po Box 27128, Salt Lake City, Utah and phone number is (801) 442-1400.

Crmc Family Medicine is licensed to practice in Idaho (license number 20). The clinic also participates in the medicare program and its NPI number is 1710156922. 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 (801) 442-1400.

Contact Information

Crmc Family Medicine
1338 Hiland Ave
Burley
ID 83318-1561
(801) 442-1400
(801) 442-0643

Map and Direction


Primary Care Clinic Profile

Full NameCrmc Family Medicine
SpecialityClinic/Center
Location1338 Hiland Ave, Burley, Idaho
Authorized Official Name and PositionLinda C Leckman (CEO INTERMOUNTAIN MEDICAL GROUP)
Authorized Official Contact8014423974
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Crmc Family Medicine
Po Box 27128
Salt Lake City
UT 84127-0128

Ph: (801) 442-1400		Crmc Family Medicine
1338 Hiland Ave
Burley
ID 83318-1561

Ph: (801) 442-1400

NPI Details:

NPI Number1710156922
Provider Enumeration Date02/22/2008
Last Update Date09/27/2011

Medicare PECOS Information:

Medicare PECOS PAC ID1850209420
Medicare Enrollment IDO20040325001015

Medical Identifiers

Medical identifiers for Crmc Family Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710156922NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty 20 (Idaho)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Crmc Family Medicine acts as a billing entity for following providers:
Provider NameWayne H Blauer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851334817
PECOS PAC ID: 0648253146
Enrollment ID: I20040608000676
Provider NameLanny F Campbell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780790147
PECOS PAC ID: 4880678069
Enrollment ID: I20040615001480
Provider NameJames L Spackman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235203977
PECOS PAC ID: 5597749614
Enrollment ID: I20040616000657
Provider NameRonald Bret Campbell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124041116
PECOS PAC ID: 7416937131
Enrollment ID: I20040826000418
Provider NameDuane R Hansen
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1417995374
PECOS PAC ID: 6709844467
Enrollment ID: I20050103000209
Provider NameEric A Harris
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1003980764
PECOS PAC ID: 7517918949
Enrollment ID: I20050203000055
Provider NameJohn D Day
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1811965122
PECOS PAC ID: 8527963214
Enrollment ID: I20051212000774
Provider NameMark A Dowdle
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1982693966
PECOS PAC ID: 9335142686
Enrollment ID: I20060807000360
Provider NameBryce W Millar
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1831133248
PECOS PAC ID: 1557365277
Enrollment ID: I20060911000463
Provider NameMichael J Cannon
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1033131495
PECOS PAC ID: 4486659307
Enrollment ID: I20060928000266
Provider NameKevin Alan Murphy
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1083641385
PECOS PAC ID: 3678597994
Enrollment ID: I20070212000244
Provider NameA Miranda
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1669565669
PECOS PAC ID: 3870526429
Enrollment ID: I20070531000399
Provider NameColleen P Harker
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1851347959
PECOS PAC ID: 0446153852
Enrollment ID: I20080630000349
Provider NameSheldon L Thieszen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1982651717
PECOS PAC ID: 4587562608
Enrollment ID: I20080710000779
Provider NameWayne D Adams
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1588665301
PECOS PAC ID: 8921905548
Enrollment ID: I20080731000398
Provider NameAllison E Tonkin
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1811940794
PECOS PAC ID: 8426042607
Enrollment ID: I20081028000428
Provider NameJeremy Haymore
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1265547582
PECOS PAC ID: 6709989387
Enrollment ID: I20081028000788
Provider NameCurtis C Sandy
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1912935685
PECOS PAC ID: 1951458975
Enrollment ID: I20090409000699
Provider NameDavid C Mcclain
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1851329767
PECOS PAC ID: 4789597113
Enrollment ID: I20090625000684
Provider NameSpencer John Robertson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1225172661
PECOS PAC ID: 5193828747
Enrollment ID: I20090812000431
Provider NameDavid L Ontiveros
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1992873327
PECOS PAC ID: 2567590623
Enrollment ID: I20100511000341
Provider NameBernard R Boehmer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902891484
PECOS PAC ID: 5193840544
Enrollment ID: I20100909000254
Provider NameWalter M Graham
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821031758
PECOS PAC ID: 0648464586
Enrollment ID: I20101104000353
Provider NameJames H Rao
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720162365
PECOS PAC ID: 4486620960
Enrollment ID: I20101208000499
Provider NameAnthony Judd Anderson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508021726
PECOS PAC ID: 8527125798
Enrollment ID: I20110317000069
Provider NameDaniel S Dallon
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1992967053
PECOS PAC ID: 1052589702
Enrollment ID: I20110722000598
Provider NameClea Mefford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356678106
PECOS PAC ID: 1850424003
Enrollment ID: I20120413000364
Provider NameJeremy R Monroe
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1437380748
PECOS PAC ID: 7618143322
Enrollment ID: I20131003000380
Provider NameMichael B Noyes
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1538173612
PECOS PAC ID: 6204885478
Enrollment ID: I20140826002636
Provider NamePaul Dearing
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1497789093
PECOS PAC ID: 7012968571
Enrollment ID: I20150213001189
Provider NameNicholas Paul Knighton
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588983449
PECOS PAC ID: 9830349182
Enrollment ID: I20150312000008
Provider NameNicholas Merrill Packer
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1891086377
PECOS PAC ID: 6709108228
Enrollment ID: I20150814014284
Provider NameKelly Curtis Anderson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548523020
PECOS PAC ID: 9436394327
Enrollment ID: I20151016001279
Provider NameAaron Frank Guercio
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1649581638
PECOS PAC ID: 8022231729
Enrollment ID: I20151028001775
Provider NameMichael O Pratt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497098891
PECOS PAC ID: 4082858022
Enrollment ID: I20160629002426
Provider NameRobert Jackson Garr
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1225023088
PECOS PAC ID: 6901990985
Enrollment ID: I20160722001057
Provider NameStewart R North
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225476450
PECOS PAC ID: 1850535287
Enrollment ID: I20160811000697
Provider NameJason O Parkinson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1396914917
PECOS PAC ID: 3870727001
Enrollment ID: I20160811001891
Provider NameTanya Reid Crystal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982051751
PECOS PAC ID: 5193010247
Enrollment ID: I20160829000780
Provider NameMorgan N Anderson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1306281944
PECOS PAC ID: 0941437750
Enrollment ID: I20170712001718
Provider NameDustin Blake Porter
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1205178399
PECOS PAC ID: 1052629367
Enrollment ID: I20181016001664
Provider NameMaria G Rivera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629540422
PECOS PAC ID: 5698015774
Enrollment ID: I20190327003307
Provider NameJames William Lloyd
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1588977250
PECOS PAC ID: 3779713821
Enrollment ID: I20190930002808
Provider NameRichard Kevin Gilroy
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1255389060
PECOS PAC ID: 6608969233
Enrollment ID: I20191105001413
Provider NameNancy E Bass
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1811922016
PECOS PAC ID: 1951359975
Enrollment ID: I20200401000863
Provider NameWendy Marie Bowers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326455478
PECOS PAC ID: 6204157936
Enrollment ID: I20200714003909
Provider NameAnthony Cameron
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1487898524
PECOS PAC ID: 7517126337
Enrollment ID: I20200721001728
Provider NameChristopher R Alsup
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134572712
PECOS PAC ID: 8022305978
Enrollment ID: I20200723003878
Provider NameAmy C Berrigan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548636848
PECOS PAC ID: 2466757372
Enrollment ID: I20200728002185
Provider NameKassie Burton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336590595
PECOS PAC ID: 7911292875
Enrollment ID: I20200728002467
Provider NameBetty Harris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497248272
PECOS PAC ID: 7113268558
Enrollment ID: I20200802000089
Provider NameJessica Potter Lott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467938936
PECOS PAC ID: 8820422231
Enrollment ID: I20200803000358
Provider NameBrittany Poulton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053788257
PECOS PAC ID: 4284936998
Enrollment ID: I20200803000401
Provider NameShane Rulon Stratford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508347006
PECOS PAC ID: 2062741952
Enrollment ID: I20200804000163
Provider NameDavid Richard Barnes
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1063435873
PECOS PAC ID: 4183692353
Enrollment ID: I20201119001212
Provider NameCarolyn L Anctil
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1629096979
PECOS PAC ID: 4183654692
Enrollment ID: I20201119001341
Provider NameJeffery T Hirschi
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1639308745
PECOS PAC ID: 7315189230
Enrollment ID: I20201119001391
Provider NameChristopher James Anderson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1407296247
PECOS PAC ID: 0547400467
Enrollment ID: I20201119001522
Provider NameRyan Madsen Black
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1780945832
PECOS PAC ID: 2163719295
Enrollment ID: I20201119001686
Provider NameAdam Clinton Blanchard
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1053687194
PECOS PAC ID: 1254564354
Enrollment ID: I20201119001734
Provider NameJeremy Todd Booth
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1710999685
PECOS PAC ID: 9032215868
Enrollment ID: I20201119001781
Provider NameJonathan Morris Bowen
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1619193026
PECOS PAC ID: 7214001528
Enrollment ID: I20201119001816
Provider NameRobert John Bryant
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1790708519
PECOS PAC ID: 1153399332
Enrollment ID: I20201119001852
Provider NameSteven Caldwell
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1417969387
PECOS PAC ID: 8820064744
Enrollment ID: I20201119001895
Provider NameCabe Riso Clark
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1184851230
PECOS PAC ID: 2860612033
Enrollment ID: I20201119001934
Provider NameVirgil Welch Davis
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1245275270
PECOS PAC ID: 5890687115
Enrollment ID: I20201119001986
Provider NameTyler Cameron Delange
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1700923273
PECOS PAC ID: 6002909298
Enrollment ID: I20201119002032
Provider NameLisa Doyle
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1255304408
PECOS PAC ID: 0446287627
Enrollment ID: I20201119002064
Provider NameNathan Michael Finnerty
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1346680808
PECOS PAC ID: 6507093770
Enrollment ID: I20201119002129
Provider NameBrian S Galovic
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1205195229
PECOS PAC ID: 5698907590
Enrollment ID: I20201119002175
Provider NameAdam Fredrick Ghiz
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1154349413
PECOS PAC ID: 8729000104
Enrollment ID: I20201119002210
Provider NameEric H Gilbert
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1356364038
PECOS PAC ID: 3678597887
Enrollment ID: I20201119002256
Provider NameShiloh V Gilbert
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1114136132
PECOS PAC ID: 6608992730
Enrollment ID: I20201119002313
Provider NameJonathan B Gunther
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1023073459
PECOS PAC ID: 5496826505
Enrollment ID: I20201119002623
Provider NameHarland Norman Hayes
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1982733796
PECOS PAC ID: 7214083336
Enrollment ID: I20201119002668
Provider NameHeather L Heileson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1649244252
PECOS PAC ID: 0446332506
Enrollment ID: I20201119002698
Provider NameMarija Margaret Lum
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1417375387
PECOS PAC ID: 1254637036
Enrollment ID: I20201119002753
Provider NameDavid B Mabey
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1578799342
PECOS PAC ID: 7012166044
Enrollment ID: I20201119002790
Provider NameMichael James Mclaughlin
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1841213691
PECOS PAC ID: 0941224190
Enrollment ID: I20201119002824
Provider NameChristian Mclain Neff
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1164619474
PECOS PAC ID: 8022186378
Enrollment ID: I20201119002865
Provider NameMatthew James Parsons
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1356459010
PECOS PAC ID: 8729183108
Enrollment ID: I20201119002884
Provider NameSean Damian Slack
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1699160598
PECOS PAC ID: 4789964214
Enrollment ID: I20201119002919
Provider NameJed C Southwick
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1366651481
PECOS PAC ID: 3274627948
Enrollment ID: I20201119002988
Provider NameGordon N Stagg
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1184636037
PECOS PAC ID: 2062460454
Enrollment ID: I20201119003032
Provider NameLuisa Edith Todd
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1366694812
PECOS PAC ID: 1153475918
Enrollment ID: I20201119003073
Provider NameJames Michael Villareal
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1588684062
PECOS PAC ID: 9638115397
Enrollment ID: I20201119003102
Provider NameCaroline G Vines
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1912141714
PECOS PAC ID: 2466609870
Enrollment ID: I20201119003138
Provider NameThomas J Wood
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962425736
PECOS PAC ID: 3971552316
Enrollment ID: I20201119003164
Provider NameEtta Kathryn Nevel
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1588616627
PECOS PAC ID: 7113970716
Enrollment ID: I20201228001721
Provider NameAmy S Biondich
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1821226432
PECOS PAC ID: 1254577117
Enrollment ID: I20210104001716
Provider NameJeb William Rodgers
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1457872061
PECOS PAC ID: 9739459736
Enrollment ID: I20210122002193
Provider NameAdam Grant Balls
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1265532717
PECOS PAC ID: 2466452768
Enrollment ID: I20210204003090
Provider NameDavid W Drury
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1700804069
PECOS PAC ID: 1456300888
Enrollment ID: I20210205000858
Provider NameJohn T Elliott
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1306199898
PECOS PAC ID: 8022332279
Enrollment ID: I20210205000946
Provider NameKyle Andrews Gardner
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1013187525
PECOS PAC ID: 0840346961
Enrollment ID: I20210205001029
Provider NameJonathan M Guenter
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1619006426
PECOS PAC ID: 9133275316
Enrollment ID: I20210205001088
Provider NameJonathan B Mckean
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1831432723
PECOS PAC ID: 4880836170
Enrollment ID: I20210205001266
Provider NameGeorge A Vargyas
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1922032978
PECOS PAC ID: 3476570490
Enrollment ID: I20210317002988
Provider NameAndre K Crouch
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1255357927
PECOS PAC ID: 2264435098
Enrollment ID: I20210317003032
Provider NamePhilip C Rutherford
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1679585525
PECOS PAC ID: 4385693795
Enrollment ID: I20210318001336
Provider NameCraig L Shane
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1144240623
PECOS PAC ID: 9931128238
Enrollment ID: I20210318001496
Provider NameBenjamin Levi Sill
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1790824704
PECOS PAC ID: 1658427414
Enrollment ID: I20210318001631
Provider NameNathaniel Joseph Ward
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1326309139
PECOS PAC ID: 4880828664
Enrollment ID: I20210507000791
Provider NameJacob J Bingham
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1144609314
PECOS PAC ID: 7012226814
Enrollment ID: I20210621003410
Provider NameAndrew Vincent
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1487974424
PECOS PAC ID: 7113172339
Enrollment ID: I20211015001555
Provider NameJessica A Bagby
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1093161473
PECOS PAC ID: 3072944313
Enrollment ID: I20220601000706
Provider NameMark S Dy-liacco
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1366488850
PECOS PAC ID: 5092613265
Enrollment ID: I20220706003717
Provider NameAlisa Fallows Corry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003586876
PECOS PAC ID: 2466831110
Enrollment ID: I20220718002378
Provider NameScott Michael Cook
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184398679
PECOS PAC ID: 3072994003
Enrollment ID: I20220721001533
Provider NameJoshua Douglas Orland Musson
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1821550211
PECOS PAC ID: 0042692121
Enrollment ID: I20220805001905
Provider NameMicalena Rose Perkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972825537
PECOS PAC ID: 8729460795
Enrollment ID: I20220808001945
Provider NameRebekah Salles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710464136
PECOS PAC ID: 6507119278
Enrollment ID: I20220818001298
Provider NameJustin Charles Wheeler
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1487945135
PECOS PAC ID: 9739499054
Enrollment ID: I20221018002341
Provider NameLisa Marie Stoddard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184294878
PECOS PAC ID: 6507234085
Enrollment ID: I20221116001617
Provider NameAaron Wesley Eckhauser
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1083761951
PECOS PAC ID: 3476700535
Enrollment ID: I20221124000095
Provider NameMelissa Glenn Olsen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083353643
PECOS PAC ID: 8921476953
Enrollment ID: I20230214001002
Provider NameEric Roy Griffiths
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1811187958
PECOS PAC ID: 1951625870
Enrollment ID: I20230405001448
Provider NameJason L Forgeon
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1952961732
PECOS PAC ID: 7214262518
Enrollment ID: I20230810000214
Provider NameJennifer Raae-nielsen
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1023671062
PECOS PAC ID: 2769862077
Enrollment ID: I20230814003952
Provider NameJacob Camp
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1538216742
PECOS PAC ID: 2466740113
Enrollment ID: I20231010002434
Provider NameBrian Schiffman
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1578184537
PECOS PAC ID: 9133543986
Enrollment ID: I20231026001718
Provider NameNathan Frohne
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1760876676
PECOS PAC ID: 5395059182
Enrollment ID: I20231109001443
Provider NameCasten R Fischer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528670585
PECOS PAC ID: 1557719473
Enrollment ID: I20231201002718
Provider NameElizabeth Ashley Edwards
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982334538
PECOS PAC ID: 3375993546
Enrollment ID: I20231229002306

Reviews and Comments


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Medicare: Not Enrolled in Medicare
Practice Location: 126 E 21st St, Burley, ID 83318
Phone: 208-678-2192    Fax: 208-678-6077
Albion Valley Health Clinic Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 400 West 5th Street, Burley, ID 83318
Phone: 208-312-9740    Fax: 208-678-0910
Cassia Medical Imaging
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1501 Hiland Ave, Burley, ID 83318
Phone: 801-442-1400    Fax: 801-442-0641
B R Boehmer Md Pa
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1335 Albion Ave, Burley, ID 83318
Phone: 208-878-2271    

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.