Preston Family Medicine - Medicare Primary Care in Preston, ID

Preston Family Medicine is a medicare enrolled primary clinic (Family Medicine) in Preston, Idaho. The current practice location for Preston Family Medicine is 43 N 1st E, Preston, Idaho. For appointments, you can reach them via phone at (423) 215-6465. The mailing address for Preston Family Medicine is 43 N 1st E, Preston, Idaho and phone number is (423) 215-6465.

Preston Family Medicine is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1891406112. 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 (423) 215-6465.

Contact Information

Preston Family Medicine
43 N 1st E
Preston
ID 83263-1325
(423) 215-6465
Not Available

Primary Care Clinic Profile

Full NamePreston Family Medicine
SpecialityFamily Medicine
Location43 N 1st E, Preston, Idaho
Authorized Official Name and PositionGordon Scott Bontrager (OWNER)
Authorized Official Contact4232156465
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Preston Family Medicine
43 N 1st E
Preston
ID 83263-1325

Ph: (423) 215-6465
Preston Family Medicine
43 N 1st E
Preston
ID 83263-1325

Ph: (423) 215-6465

NPI Details:

NPI Number1891406112
Provider Enumeration Date12/07/2022
Last Update Date03/01/2023

Medicare PECOS Information:

Medicare PECOS PAC ID6507239845
Medicare Enrollment IDO20230307001343

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Medical Identifiers

Medical identifiers for Preston Family Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891406112NPI-NPPES
1780919829MedicaidID

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. Preston Family Medicine acts as a billing entity for following providers:
Provider NameGordon S Bontrager
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780919829
PECOS PAC ID: 4486792769
Enrollment ID: I20201211001838

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Provider NameHarper Gibbs Sims
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932883055
PECOS PAC ID: 5092169029
Enrollment ID: I20230926000596

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Family Medicine in Preston, ID

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