Panhandle Health District 1/ Diabetes Prevention Program is a medicare enrolled "Clinic/center - Public Health, State Or Local" provider in Hayden, Idaho. Their current practice location is
8500 North Atlas Road, Hayden, Idaho. You can reach out to their office (for appointments etc.) via phone at
(208) 415-5100.
Panhandle Health District 1/ Diabetes Prevention Program is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Panhandle Health District 1/ Diabetes Prevention Program
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 1427616846.
Healthcare Provider's Profile
| Full Name | Panhandle Health District 1/ Diabetes Prevention Program |
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| Type | Facility |
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| Speciality | Clinic/center - Public Health, State Or Local |
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| Location | 8500 North Atlas Road, Hayden, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1427616846
- Provider Enumeration Date: 05/31/2019
- Last Update Date: 03/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 7911923016
- Enrollment ID: O20191106001649
Medical Identifiers
Medical identifiers for Panhandle Health District 1/ Diabetes Prevention Program such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427616846 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 174H00000X | Health Educator | (* (Not Available)) | Secondary |
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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. Panhandle Health District 1/ Diabetes Prevention Program 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 Address | Practice Location Address |
|---|
Panhandle Health District 1/ Diabetes Prevention Program
8500 North Atlas Road,
Hayden, ID 83835-8332
Ph: (208) 415-5100 | Panhandle Health District 1/ Diabetes Prevention Program
8500 North Atlas Road,
Hayden, ID 83835-8332
Ph: (208) 415-5100 |
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