| Idaho Skin Center | |
|
3760 Washington Pkwy Idaho Falls ID 83404-7593 | |
| (208) 881-5779 | |
| Not Available |
| Full Name | Idaho Skin Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3760 Washington Pkwy, Idaho Falls, Idaho |
| Authorized Official Name and Position | Anthony Rieth (MANAGING MEMBER) |
| Authorized Official Contact | 2087164741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Skin Center 3760 Washington Pkwy Idaho Falls ID 83404-7593 Ph: (208) 881-5779 | Idaho Skin Center 3760 Washington Pkwy Idaho Falls ID 83404-7593 Ph: (208) 881-5779 |
| NPI Number | 1831730118 |
|---|---|
| Provider Enumeration Date | 10/08/2019 |
| Last Update Date | 11/29/2020 |
| Medicare PECOS PAC ID | 8224464359 |
|---|---|
| Medicare Enrollment ID | O20200610000844 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831730118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Kierstin Nebeker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760720064 PECOS PAC ID: 1254658008 Enrollment ID: I20150316002553 |
| Provider Name | Catherine Anne Ramsay |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1275616757 PECOS PAC ID: 1052417045 Enrollment ID: I20210318001062 |
Shane G Machen, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1995 E 17th St Ste A, Idaho Falls, ID 83404 Phone: 208-522-7666 Fax: 208-524-2821 | |
Physician Skin Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-542-9111 | |
Family First Medical Center, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3614 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-552-7700 Fax: 208-552-1783 | |
Imed Hrs Idaho Falls Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 801-507-3500 | |
Neville Spinal Balance Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2145 West Broadway Street, Idaho Falls, ID 83402 Phone: 208-522-3130 | |
R.k. Arbon, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2860 Channing Way, Suite 116, Idaho Falls, ID 83404 Phone: 208-529-0575 Fax: 208-528-0223 | |
Idaho Falls Family & Sports Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3360 Washington Pkwy, Suite 1, Idaho Falls, ID 83404 Phone: 208-524-3416 Fax: 208-524-3138 |