Brent Blue, MD is a medicare enrolled "Family Medicine" physician in Driggs, Idaho. He went to University Of Louisville School Of Medicine and graduated in 1976 and has 50 years of diverse experience with area of expertise as Family Practice. His current practice location is
190 Mustang Drive, Driggs, Idaho. You can reach out to his office (for appointments etc.) via phone at
(307) 733-7835.
Brent Blue is licensed to practice in Wyoming (license number 3416A) 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 1063467538.
Physician's Profile
| Full Name | Brent Blue |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 50 Years |
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| Location | 190 Mustang Drive, Driggs, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Brent Blue attended and graduated from University Of Louisville School Of Medicine in 1976
NPI Data:
- NPI Number: 1063467538
- Provider Enumeration Date: 05/23/2006
- Last Update Date: 03/06/2026
Medicare PECOS Information:
- PECOS PAC ID: 2466403886
- Enrollment ID: I20100920000271
Medical Identifiers
Medical identifiers for Brent Blue such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063467538 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 3416A (Wyoming) | Primary |
| 207P00000X | Emergency Medicine | A31472 (California) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | 3416A (Wyoming) | Secondary |
Medical Facilities Affiliation
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. Brent Blue allows following entities to bill medicare on his behalf.
| Entity Name | Brent Blue Md |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356556518 PECOS PAC ID: 2466434113 Enrollment ID: O20040604000956 |
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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. Brent Blue 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 |
Brent Blue, MD Po Box 25, Wilson, WY 83014-0025 Ph: (307) 733-7835 | Brent Blue, MD 190 Mustang Drive, Driggs, ID 83422-0000 Ph: (307) 733-7835 |
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