| Internal Medicine Associates, P.a. | |
|
102 S Euclid Ave Ste 202 Sandpoint ID 83864-4912 | |
| (208) 263-6876 | |
| (208) 263-2033 |
| Full Name | Internal Medicine Associates, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 102 S Euclid Ave Ste 202, Sandpoint, Idaho |
| Authorized Official Name and Position | Judith Chittick (OFFICE MANAGER) |
| Authorized Official Contact | 2082636876 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Associates, P.a. Po Box 550 Sandpoint ID 83864-0550 Ph: (208) 263-6876 | Internal Medicine Associates, P.a. 102 S Euclid Ave Ste 202 Sandpoint ID 83864-4912 Ph: (208) 263-6876 |
| NPI Number | 1154361988 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 06/06/2016 |
| Medicare PECOS PAC ID | 1759366818 |
|---|---|
| Medicare Enrollment ID | O20040622001333 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154361988 | NPI | - | NPPES |
| 7081557 | Medicaid | WA | |
| 000010006479 | Other | ID | BS GROUP NUMBER |
| 0351312 | Medicaid | MT | |
| 805074900 | Medicaid | ID | |
| 87841 | Other | ID | BC GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles M Crane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194762732 PECOS PAC ID: 7315928975 Enrollment ID: I20040625000745 |
| Provider Name | Robert Leon Clark |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508850181 PECOS PAC ID: 1759381171 Enrollment ID: I20150928001506 |
| Provider Name | Jade Dardine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720493638 PECOS PAC ID: 1759687247 Enrollment ID: I20160309001421 |
| Provider Name | Whitney V Lilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386153633 PECOS PAC ID: 1355608233 Enrollment ID: I20180326002357 |
| Provider Name | Paige Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205314622 PECOS PAC ID: 0143573717 Enrollment ID: I20181029001507 |
| Provider Name | Benjamin Ryan Murray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801322854 PECOS PAC ID: 4587936174 Enrollment ID: I20200616001014 |
| Provider Name | William P Diehl |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275038093 PECOS PAC ID: 2365790797 Enrollment ID: I20210524002866 |
Cycles Of Life Health Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 N Division Ave, Sandpoint, ID 83864 Phone: 208-363-1345 Fax: 208-255-5531 | |
Bonner General Family And Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 423 N Third Ave Ste 210, Sandpoint, ID 83864 Phone: 208-265-2221 Fax: 208-265-2229 | |
Bonner Partners In Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1020 Michigan St, Sandpoint, ID 83864 Phone: 208-255-9099 Fax: 208-263-6963 | |
Ideal Option, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 Pine St, Sandpoint, ID 83864 Phone: 877-522-1275 Fax: 833-888-7145 | |
Sandpoint Super Drug Clinical Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 604 N Fifth Ave, Sandpoint, ID 83864 Phone: 208-263-1408 | |
Halsa, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 S Ella Ave, Sandpoint, ID 83864 Phone: 208-521-4107 Fax: 208-216-7446 |