Dr Nicole Shiree Burbank, MD - Medicare Diagnostic Radiology in Coeur D Alene, ID

Dr Nicole Shiree Burbank, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Coeur D Alene, Idaho. She went to University Of Washington School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Bonner General Hospital Inc, Kootenai Health Inc, Kootenai Health, Inc., Radiology Associates Of North Idaho Pa and her current practice location is 2003 Kootenai Health Way, Coeur D Alene, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 625-6300.

Dr Nicole Shiree Burbank is licensed to practice in Idaho (license number M-9657) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982621967.

Contact Information

Dr Nicole Shiree Burbank, MD
2003 Kootenai Health Way,
Coeur D Alene, ID 83814-6051
(208) 625-6300
(208) 666-2919



Physician's Profile

Full NameDr Nicole Shiree Burbank
GenderFemale
SpecialityDiagnostic Radiology
Experience24 Years
Location2003 Kootenai Health Way, Coeur D Alene, Idaho
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Nicole Shiree Burbank attended and graduated from University Of Washington School Of Medicine in 2000
  NPI Data:
  • NPI Number: 1982621967
  • Provider Enumeration Date: 07/16/2006
  • Last Update Date: 11/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5890682504
  • Enrollment ID: I20061121000593

Medical Identifiers

Medical identifiers for Dr Nicole Shiree Burbank such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982621967NPI-NPPES
P00339968OtherIDRR MEDICARE - RANI
8462665MedicaidWA
807559700MedicaidID
B5645OtherIDBC ID - PF
B5621OtherIDBC ID - CDA
P00425233OtherIDRR MEDICARE - NIIC
76735OtherIDBC ID - RANI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology M-9657 (Idaho)Primary
2085R0202XRadiology - Diagnostic Radiology 200300944 (North Carolina)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kootenai HealthCoeur d'alene, IDHospital
Bonner General HospitalSandpoint, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bonner General Hospital Inc408269046636
Kootenai Health Inc1355792276291
Kootenai Health, Inc.4789641598331
Radiology Associates Of North Idaho Pa438563515022

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nicole Shiree Burbank allows following entities to bill medicare on her behalf.
Entity NameRadiology Associates Of North Idaho Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851384416
PECOS PAC ID: 4385635150
Enrollment ID: O20040520000648

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Entity NameBonner General Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154563963
PECOS PAC ID: 4082690466
Enrollment ID: O20040626000014

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Entity NameBenewah Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386632180
PECOS PAC ID: 1850200700
Enrollment ID: O20040927000265

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Entity NameKootenai Health, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235288655
PECOS PAC ID: 4789641598
Enrollment ID: O20041214000230

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Entity NameBoundary Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801896683
PECOS PAC ID: 3274583406
Enrollment ID: O20050126000312

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Entity NameBenewah Community Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1548320435
PECOS PAC ID: 1850200700
Enrollment ID: O20061104000136

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› Verified 8 days ago

Entity NameKootenai Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174661151
PECOS PAC ID: 1355792276
Enrollment ID: O20240111003252

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› Verified 8 days ago

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicole Shiree Burbank is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Nicole Shiree Burbank, MD
Po Box 591,
Coeur D Alene, ID 83816-0591

Ph: (208) 667-9334
Dr Nicole Shiree Burbank, MD
2003 Kootenai Health Way,
Coeur D Alene, ID 83814-6051

Ph: (208) 625-6300

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› Verified 8 days ago


Radiology Doctors in Coeur D Alene, ID

Brian J Mcnamee, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 700 W Ironwood Dr, Suite 110, Coeur D Alene, ID 83814
Phone: 208-666-3200    Fax: 208-666-3217
Dr. Michael Gerardo Melendez, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 2789 E Spyglass Ct, Coeur D Alene, ID 83815
Phone: 208-610-0041    Fax: 208-777-1313
Lauren Gayle Deur, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 250 Northwest Blvd, Suite #202, Coeur D Alene, ID 83814
Phone: 208-292-2263    Fax: 208-292-3130
Dr. George F. Knight, M. D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 601 Front Avenue, Suite #502, Coeur D Alene, ID 83814
Phone: 208-415-0524    Fax: 208-763-3644
Jeffrey Wayne Grossman, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2031 E Mountain Vista Dr, Coeur D Alene, ID 83815
Phone: 208-570-3342    
Dr. Bryan Douglas Berkey, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814
Phone: 208-625-3000    Fax: 208-625-6301
Albert J Martinez, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 700 W Ironwood Dr, Suite 110, Coeur D Alene, ID 83814
Phone: 208-666-3200    Fax: 208-666-3217

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