Fred David Dodge, LCSW - Medicare Counselor in Meridian, ID

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Fred David Dodge, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Meridian, Idaho. He graduated from healthcare school in 2015 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Mental Health Specialty Group Pa and his current practice location is 2650 S Eagle Rd, Meridian, Idaho. You can reach out to his office (for appointments etc.) via phone at (986) 200-4290.

Fred David Dodge is licensed to practice in Idaho (license number LCSW-40095) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669117438.

Contact Information

Fred David Dodge, LCSW
2650 S Eagle Rd,
Meridian, ID 83642-6725
(986) 200-4290
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameFred David Dodge
GenderMale
SpecialityClinical Social Worker
Experience11 Years
Location2650 S Eagle Rd, Meridian, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Fred David Dodge graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1669117438
  • Provider Enumeration Date: 05/04/2022
  • Last Update Date: 09/21/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5698159994
  • Enrollment ID: I20220906002551

Medical Identifiers

Medical identifiers for Fred David Dodge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669117438NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 8851160-3501 (Utah)Secondary
1041C0700XSocial Worker - Clinical LCSW-40095 (Idaho)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mental Health Specialty Group Pa8921466228726

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. Fred David Dodge allows following entities to bill medicare on his behalf.
Entity NameIdaho Tms
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841857513
PECOS PAC ID: 5698100840
Enrollment ID: O20200115002240
Entity NameMental Health Specialty Group PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801472634
PECOS PAC ID: 8921466228
Enrollment ID: O20240916003985

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. Fred David Dodge 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
Fred David Dodge, LCSW
2725 Via Valdarno,
Pocatello, ID 83201-5830

Ph: (512) 630-5140		Fred David Dodge, LCSW
2650 S Eagle Rd,
Meridian, ID 83642-6725

Ph: (986) 200-4290

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.