Lost Rivers Medical Center
A Medicare group practice based in Arco, ID: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 7810807427), with 22 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7810807427
- Provider type
- MDPP Supplier - in-Person MDPP Supplier, Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- ID
- Enrollments
- 7
- Group size
- 16 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 7
Enrollment records 7
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20030513000038 | ID | Part A Provider - Rural Health Clinic | 1427062181 |
| O20080409000117 | ID | Part A Provider - Critical Access Hospital | 1114925047 |
| O20040612000135 | ID | Part B Supplier - Clinic/Group Practice | 1427062181 |
| O20070727000737 | ID | Part A Provider - Rural Health Clinic | 1760402663 |
| O20100913000965 | ID | Part A Provider - Critical Access Hospital | 1134130107 |
| O20220608002575 | ID | MDPP Supplier - in-Person MDPP Supplier | 1114925047 |
| O20161025002060 | ID | Part B Supplier - Clinic/Group Practice | 1760402663 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Lost Rivers Medical Center
- Critical Access Hospital
- Arco, ID
- NPI 1114925047
-
Lost Rivers Medical Center
- Skilled Nursing Facility
- Arco, ID
- NPI 1134130107
-
Lost Rivers Medical Center
- Family Medicine Physician
- Arco, ID
- NPI 1427062181
-
Lost Rivers Medical Center
- Family Medicine Physician
- Mackay, ID
- NPI 1760402663
Practice locations
- Arco, ID5
- Mackay, ID2
Clinicians 22
Clinicians who reassign their Medicare benefits to this group (21) or whom Care Compare lists as members (16).
-
Mark James Bolton, M.D.
- General Practice Physician
- Columbus, OH
- NPI 1790785152
-
Benjamin Flandro Call, MD
- Cardiovascular Disease Physician
- Pocatello, ID
- NPI 1346236213
-
Yara Letitia Cameron, MD
- Interventional Cardiology Physician
- Grand Forks, ND
- NPI 1245518802
-
Amy Fisher, PA-C
- Medical Physician Assistant
- Providence, UT
- NPI 1164176772
-
Patrick D Gorman, MD
- Cardiovascular Disease Physician
- Idaho Falls, ID
- NPI 1295735769
-
Sonny Ham
- Family Nurse Practitioner
- North Hills, CA
- NPI 1336875061
-
Laura Hays, APRN, FNP-C
- Family Nurse Practitioner
- Paris, TX
- NPI 1972128940
-
Vernon Robert Kubiak, APRN, CNS, CNP
- Psychiatric/Mental Health Nurse Practitioner
- Pocatello, ID
- NPI 1538576491
-
Joshua Kunz, CRNA
- Certified Registered Nurse Anesthetist
- El Paso, TX
- NPI 1710578786
-
Ryan Bradley Longmore, D.O.
- Cardiovascular Disease Physician
- Pocatello, ID
- NPI 1285884213
-
Reuel Jake Measom, MD
- Interventional Pain Medicine Physician
- Albuquerque, NM
- NPI 1184156630
-
Betty Margaret Mitchell, M.D.
- Emergency Medicine Physician
- Columbus, OH
- NPI 1487612800
-
Christopher James Morgan, DNP, FNP-C
- Nurse Practitioner
- North Logan, UT
- NPI 1245550268
-
Olivia Prince, FNP-C
- Family Nurse Practitioner
- Arco, ID
- NPI 1194683987
-
Hans Thurgood Redd, MD
- Pediatrics Physician
- Rexburg, ID
- NPI 1558348649
-
Danny E Spencer, DO
- Emergency Medical Services (Emergency Medicine) Physician
- Logan, UT
- NPI 1508890682
-
Timothy Gribbin Tomlinson, DPM
- Podiatrist
- Gooding, ID
- NPI 1518018969
-
Kristy L Unruh, MSN, APRN, NP-C
- Family Nurse Practitioner
- Arco, ID
- NPI 1629627575
-
Jeremy West, NP
- Nurse Practitioner
- Sherman, TX
- NPI 1447965959
-
Daniel Cooper Wester, MD
- Family Medicine Physician
- St Maries, ID
- NPI 1407965544
-
Jace Keller White
- Family Nurse Practitioner
- Arco, ID
- NPI 1861371171
-
John Henry White III, MD
- Emergency Medicine Physician
- Jackson, MS
- NPI 1619430964
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.