Included services

Dr. Silakoski provides a wide range of services, which include, but are not limited to:


  • Office visits
  • In-office labs (e.g. strep tests, urinalysis, pregnancy tests, blood sugar tests, stool test for blood)
  • Comprehensive adult physical examinations (one (1) per year)
  • Well child examinations
  • D.O.T. physicals
  • Osteopathic manual manipulation
  • Acupuncture
  • Brief, solution focused therapy
  • Freezing of warts and other skin lesions
  • Adult tetanus and flu vaccinations
  • Simple laceration repair
  • Simple fracture splinting/casting
  • Antibiotic injection
  • EKGs
  • Spirometry
  • Exercise treadmill tests
  • Skin biopsy and lesion removal
  • Uterine sampling
  • Thrombosed hemorrhoid removal
  • Joint/muscle injections
  • Simple abscess and cyst drainage
  • Ear wax removal
  • Nebulizer treatments for acute asthma
  • Removal of superficial foreign body
  • Ingrown nail removal
  • Cortisone allergy shots
  • Other primary care services customarily provided by family physicians.

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At North Idaho Direct Primary Care we look forward to being your one stop shop for Family Medicine. Whether its one of the services listed  on this page or something else we can help with - we seek to be the provider of choice for North Idaho and look forward to meeting you!

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What's not included

The following is a list of the services that are not included under our direct primary care model:


  • Services provided by other practitioners, such as a sub-specialist to whom the patient is referred.
  • Outpatient medication purchased at a pharmacy or through our office as well as supplies we cannot provide in the course of treatment during a patient visit.
  • Hospital care, including inpatient admission, rounds, and discharge.
  • Imaging studies (i.e. x-rays, CT scans, MRIs, ultrasounds, etc.)
  • Lab studies done outside the office.
  • Any services rendered by other facilities or by another provider, in the rare event that Dr. Samuel is unavailable.
  • Newborn circumcisions.
  • Certain ancillary services (such as home health or Hospice orders for Medicare patients), as these may be limited by the patient’s insurance policy.

Now, with all that said, it is important to understand that we have a number of strategies in place designed to help patients save money when she cannot provide a particular service in-house (such as lab work or imaging services).  Drs. Silakoski, Samuel and their staff are also skilled at obtaining name-brand prescriptions free of charge for those patients who need a certain medication and who financially qualify.


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North Idaho DPC

ph: 208.772.5204