Derek Kohlhase, MD - Medicare Family Practice in Star, ID

  1. Home
  2. Family Medicine
  3. ID
  4. Star
Derek Kohlhase, MD is a medicare enrolled "Family Medicine" physician in Star, Idaho. He went to University Of Minnesota Medical School and graduated in 2019 and has 6 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Saint Alphonsus Regional Medical Center Inc and his current practice location is 10717 W State St, Star, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 302-6300.

Derek Kohlhase is licensed to practice in Idaho (license number M-15600) 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 1407410830.

Contact Information

Derek Kohlhase, MD
10717 W State St,
Star, ID 83669-6046
(208) 302-6300
(208) 302-6355

Map and Direction




Physician's Profile

Full NameDerek Kohlhase
GenderMale
SpecialityFamily Practice
Experience6 Years
Location10717 W State St, Star, 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:
  • Derek Kohlhase attended and graduated from University Of Minnesota Medical School in 2019
  NPI Data:
  • NPI Number: 1407410830
  • Provider Enumeration Date: 05/01/2019
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5193052645
  • Enrollment ID: I20220803002492

Medical Identifiers

Medical identifiers for Derek Kohlhase such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407410830NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MRM-1814 (Idaho)Secondary
207Q00000XFamily Medicine M-15600 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Multicare Home Health Services, IncMeridian, IDHome health agency
Saint Alphonsus Regional Medical CenterBoise, IDHospital
Saint Alphonsus Medical Center - NampaNampa, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Saint Alphonsus Regional Medical Center Inc3476462359541

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. Derek Kohlhase allows following entities to bill medicare on his behalf.
Entity NameSaint Alphonsus Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649357716
PECOS PAC ID: 3476462359
Enrollment ID: O20040204001036

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. Derek Kohlhase 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
Derek Kohlhase, MD
3340 E Goldstone Dr,
Meridian, ID 83642-1026

Ph: (208) 302-9342		Derek Kohlhase, MD
10717 W State St,
Star, ID 83669-6046

Ph: (208) 302-6300

Reviews and Comments


Family Medicine Doctors in Star, ID

Nathan R. Mason, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10717 W State St, Star, ID 83669
Phone: 208-302-6300    Fax: 208-302-6355
Dr. Thomas Richard Young Iii, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4815 N High Country Way, Star, ID 83669
Phone: 208-761-6884    

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.