Bore Llc - Medicare Primary Care in Ammon, ID

Bore Llc is a medicare enrolled primary clinic (Family Medicine) in Ammon, Idaho. The current practice location for Bore Llc is 1498 Midway Ave Ste 2, Ammon, Idaho. For appointments, you can reach them via phone at (208) 529-9930. The mailing address for Bore Llc is 1498 Midway Ave Ste 2, Ammon, Idaho and phone number is () -.

Bore Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1447880570. 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 (208) 529-9930.

Contact Information

Bore Llc
1498 Midway Ave Ste 2
Ammon
ID 83406-4587
(208) 529-9930
Not Available

Primary Care Clinic Profile

Full NameBore Llc
SpecialityFamily Medicine
Location1498 Midway Ave Ste 2, Ammon, Idaho
Authorized Official Name and PositionHeather Fumich (CONTRACTING)
Authorized Official Contact5035020655
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bore Llc
1498 Midway Ave Ste 2
Ammon
ID 83406-4587

Ph: () -
Bore Llc
1498 Midway Ave Ste 2
Ammon
ID 83406-4587

Ph: (208) 529-9930

NPI Details:

NPI Number1447880570
Provider Enumeration Date01/16/2020
Last Update Date01/16/2020

Medicare PECOS Information:

Medicare PECOS PAC ID9133556590
Medicare Enrollment IDO20200224002432

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Medical Identifiers

Medical identifiers for Bore Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447880570NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bore Llc acts as a billing entity for following providers:
Provider NameBrian D Jones
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922413699
PECOS PAC ID: 9234432675
Enrollment ID: I20180123003465

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