Ridgeline Medical Llc - Medicare in Idaho Falls, ID

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Ridgeline Medical Llc is a medicare enrolled "Family Medicine" provider in Idaho Falls, Idaho. Their current practice location is 2470 Jafer Ct, Idaho Falls, Idaho. You can reach out to their office (for appointments etc.) via phone at (208) 715-9990.

Ridgeline Medical Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Ridgeline Medical Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1386110963.

Contact Information

Ridgeline Medical Llc
2470 Jafer Ct,
Idaho Falls, ID 83404-5587
(208) 715-9990
(208) 715-9992

Map and Direction




Healthcare Provider's Profile

Full NameRidgeline Medical Llc
TypeFacility
SpecialityFamily Medicine
Location2470 Jafer Ct, Idaho Falls, Idaho
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386110963
  • Provider Enumeration Date: 10/22/2018
  • Last Update Date: 11/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5092054551
  • Enrollment ID: O20190227001380

Medical Identifiers

Medical identifiers for Ridgeline Medical Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386110963NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Primary
207QS1201XFamily Medicine - Sleep Medicine (* (Not Available))Secondary
208100000XPhysical Medicine & Rehabilitation (* (Not Available))Secondary
261QU0200XClinic/center - Urgent Care (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ridgeline Medical Llc acts as a billing entity for following providers:
Provider NameJames L Blaine
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1801963459
PECOS PAC ID: 1254303498
Enrollment ID: I20040809001269
Provider NameHelen K Kenney
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1306923099
PECOS PAC ID: 6800868969
Enrollment ID: I20040809001397
Provider NameChristina M Finnerty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558430918
PECOS PAC ID: 1850352568
Enrollment ID: I20041025001046
Provider NameMonica J Nealis
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1073676805
PECOS PAC ID: 4385721000
Enrollment ID: I20080404000689
Provider NameMartin A Mangan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972709103
PECOS PAC ID: 6709937758
Enrollment ID: I20090702000185
Provider NameWilliam S Ulrich
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1942537923
PECOS PAC ID: 0749322709
Enrollment ID: I20100128000863
Provider NameJeffrey C Haskell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073535506
PECOS PAC ID: 6709067135
Enrollment ID: I20110218000114
Provider NameDanny E Spencer
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1508890682
PECOS PAC ID: 3375714744
Enrollment ID: I20181015003568
Provider NameMartha Elena Maldonado
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1659844363
PECOS PAC ID: 8123369774
Enrollment ID: I20190408002002
Provider NameNicholas David Anderson
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1093281016
PECOS PAC ID: 3577803576
Enrollment ID: I20191226000065
Provider NameAnalee S Fish
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407405111
PECOS PAC ID: 0143657841
Enrollment ID: I20200302001391
Provider NameRobert Grondel
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1124037650
PECOS PAC ID: 7012907512
Enrollment ID: I20220518001725
Provider NameTai Banta
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1467185843
PECOS PAC ID: 9931564119
Enrollment ID: I20230421000958

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. Ridgeline Medical Llc 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
Ridgeline Medical Llc
2429 Jafer Ct,
Idaho Falls, ID 83404-5587

Ph: (208) 715-9990		Ridgeline Medical Llc
2470 Jafer Ct,
Idaho Falls, ID 83404-5587

Ph: (208) 715-9990

Reviews and Comments



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.