| On Site For Seniors Inc | |
|
296 W Sunset Ave Ste 14 Coeur D Alene ID 83815-8367 | |
| (208) 967-4771 | |
| Not Available |
| Full Name | On Site For Seniors Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 296 W Sunset Ave Ste 14, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Susan Melchiore (MANAGING PHYSICIAN) |
| Authorized Official Contact | 2089674771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| On Site For Seniors Inc Po Box 238 Hayden ID 83835-0238 Ph: (208) 967-4771 | On Site For Seniors Inc 296 W Sunset Ave Ste 14 Coeur D Alene ID 83815-8367 Ph: (208) 967-4771 |
| NPI Number | 1265621908 |
|---|---|
| Provider Enumeration Date | 10/18/2007 |
| Last Update Date | 08/04/2019 |
| Medicare PECOS PAC ID | 9436248739 |
|---|---|
| Medicare Enrollment ID | O20071210000519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265621908 | NPI | - | NPPES |
| DG7201 | Other | ID | MEDICARE RAILROAD CARRIER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Mary T Szymanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992758585 PECOS PAC ID: 0345269767 Enrollment ID: I20051115000851 |
| Provider Name | Susan Melchiore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588605620 PECOS PAC ID: 1355352220 Enrollment ID: I20060508000549 |
| Provider Name | Lynda J Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326144932 PECOS PAC ID: 7719080308 Enrollment ID: I20070320000564 |
| Provider Name | Laura J Lata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649224783 PECOS PAC ID: 0446213763 Enrollment ID: I20141006002526 |
| Provider Name | Nancy Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538539143 PECOS PAC ID: 3173832482 Enrollment ID: I20151027000687 |
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