Treasure Valley Endocrinology Pc - Medicare Primary Care in Boise, ID

Treasure Valley Endocrinology Pc is a medicare enrolled primary clinic (Internal Medicine - Endocrinology, Diabetes & Metabolism) in Boise, Idaho. The current practice location for Treasure Valley Endocrinology Pc is 900 N Liberty St Ste 201, Boise, Idaho. For appointments, you can reach them via phone at (208) 367-6740. The mailing address for Treasure Valley Endocrinology Pc is Po Box 4143, Boise, Idaho and phone number is (208) 367-6740.

Treasure Valley Endocrinology Pc is licensed to practice in Illinois (license number M 6551). The clinic also participates in the medicare program and its NPI number is 1417967696. 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) 367-6740.

Contact Information

Treasure Valley Endocrinology Pc
900 N Liberty St Ste 201
Boise
ID 83704-8707
(208) 367-6740
(208) 367-6742

Primary Care Clinic Profile

Full NameTreasure Valley Endocrinology Pc
SpecialityInternal Medicine
Location900 N Liberty St Ste 201, Boise, Idaho
Authorized Official Name and PositionJulie A. Foote (ENDOCRINOLOGIST)
Authorized Official Contact2083676740
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Treasure Valley Endocrinology Pc
Po Box 4143
Boise
ID 83711-4143

Ph: (208) 367-6740
Treasure Valley Endocrinology Pc
900 N Liberty St Ste 201
Boise
ID 83704-8707

Ph: (208) 367-6740

NPI Details:

NPI Number1417967696
Provider Enumeration Date08/09/2006
Last Update Date06/19/2008

Medicare PECOS Information:

Medicare PECOS PAC ID0042237117
Medicare Enrollment IDO20051027000967

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Medical Identifiers

Medical identifiers for Treasure Valley Endocrinology Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417967696NPI-NPPES
807326100MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism M 6551 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Treasure Valley Endocrinology Pc acts as a billing entity for following providers:
Provider NameTiffany C Heidt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689683518
PECOS PAC ID: 0547247603
Enrollment ID: I20051031000104

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Provider NameJulie A Foote
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1104836303
PECOS PAC ID: 3476570540
Enrollment ID: I20051031000112

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