Walter Raymond Fairfax, MD - Medicare Internal Medicine in Coeur D Alene, ID

Walter Raymond Fairfax, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Coeur D Alene, Idaho. His current practice location is 2003 Kootenai Health Way, Coeur D Alene, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 625-4000.

Walter Raymond Fairfax is licensed to practice in Idaho (license number M11477) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124170170.

Contact Information

2003 Kootenai Health Way
Coeur D Alene
ID 83814-6051
(208) 625-4000
Not Available

Map and Direction


Physician's Profile

Full NameWalter Raymond Fairfax
GenderMale
SpecialityInternal Medicine - Critical Care Medicine
LocationCoeur D Alene, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124170170
  • Provider Enumeration Date: 01/18/2007
  • Last Update Date: 10/25/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6103879333
  • Enrollment ID: I20111128000649

Medical Identifiers

Medical identifiers for Walter Raymond Fairfax such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124170170NPI-NPPES
105079600OtherWYMDCD PIN
290011323Medicare PINMT
000080908Medicare PINMT
000080820Medicare PINMT
000096870OtherMTBCBS PIN
1153260003Medicare PINMT
0011135OtherMTMDCD PIN
C63456Medicare UPINMT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine M11477 (Idaho)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Walter Raymond Fairfax allows following entities to bill medicare on his behalf.
Entity NameKootenai Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235288655
PECOS PAC ID: 4789641598
Enrollment ID: O20041214000230

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Walter Raymond Fairfax is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Walter Raymond Fairfax, MD
2003 Kootenai Health Way
Coeur D Alene
ID 83814-6051

Ph: (208) 625-4000
Walter Raymond Fairfax, MD
2003 Kootenai Health Way
Coeur D Alene
ID 83814-6051

Ph: (208) 625-4000

Reviews and Comments

Internal Medicine Doctors in Coeur D Alene, ID

Robert Alan Wales, MD, FACC
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 700 W Ironwood Dr, 214, Coeur D Alene, ID 83814
Phone: 208-292-1600    Fax: 208-292-1610
Diana Johns,
Critical Care Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2248 W Rosebud Ln, Coeur D Alene, ID 83814
Phone: 907-687-6248    
David B Souvenir, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1875 N Lakewood Dr, Ste 101, Coeur D Alene, ID 83814
Phone: 208-765-9092    Fax: 208-765-9093
Edward J Macinerney, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 700 W Ironwood Dr, 320, Coeur D Alene, ID 83814
Phone: 208-625-5250    
Dr. Robert Scoggins, M.D., PH.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 700 W Ironwood Dr Ste 378, Coeur D Alene, ID 83814
Phone: 208-765-1252    Fax: 208-765-1494
Dr. Sean Tristan Lawrence Cook, D.O.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2120 W Ironwood Center Dr, Coeur D Alene, ID 83814
Phone: 208-625-6944    Fax: 208-625-6945
Dr. Anthony Bryan Rehil-crest, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1090 W Park Pl, Coeur D Alene, ID 83814
Phone: 208-292-0292    Fax: 208-292-0705

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.