Dr Andrew Benjamin Vizcarra, MD in Sandpoint, ID

Dr Andrew Benjamin Vizcarra, MD is a medicare enrolled "Pediatrics" physician in Sandpoint, Idaho. His current practice location is 301 Cedar St, Sandpoint, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 263-7101.

Dr Andrew Benjamin Vizcarra is licensed to practice in Tennessee (license number 60530) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629502265.

Contact Information

	Dr Andrew Benjamin Vizcarra, MD
	301 Cedar St, Sandpoint, ID 83864-1425
	(208) 263-7101
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Andrew Benjamin Vizcarra
Gender	Male
Speciality	Pediatrics
Location	301 Cedar St, Sandpoint, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629502265
Provider Enumeration Date: 04/19/2017
Last Update Date: 04/11/2024

Medicare PECOS Information:

PECOS PAC ID: 7810265071
Enrollment ID: I20210729000556

Medical Identifiers

Medical identifiers for Dr Andrew Benjamin Vizcarra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629502265	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0204X	Pediatrics - Pediatric Emergency Medicine	60530 (Tennessee)	Secondary
208000000X	Pediatrics	60530 (Tennessee)	Primary

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. Dr Andrew Benjamin Vizcarra allows following entities to bill medicare on his behalf.

Entity Name	Vip Midsouth, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487737912 PECOS PAC ID: 1759272982 Enrollment ID: O20040324001304

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. Dr Andrew Benjamin Vizcarra 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
Dr Andrew Benjamin Vizcarra, MD 3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691 Ph: (615) 322-3000	Dr Andrew Benjamin Vizcarra, MD 301 Cedar St, Sandpoint, ID 83864-1425 Ph: (208) 263-7101

Reviews and Comments

Pediatrics Doctors in Sandpoint, ID

Shannon Marie Seckel, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 420 N 2nd Ave Ste 100, Sandpoint, ID 83864 Phone: 208-265-2242
Mrs. Katherine Magee, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 420 North 2nd Ave, Ste 100, Sandpoint, ID 83864 Phone: 208-265-2242 Fax: 208-265-8214
Dr. John M Seaman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 420 N 2nd Ave, Sandpoint Pediatrics - Kaniksu Health Services, Sandpoint, ID 83864 Phone: 208-265-2242
Harry Ralph Vanderwal Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 420 N 2nd Ave, Ste 100, Sandpoint, ID 83864 Phone: 208-265-2242 Fax: 208-265-8214

Dr Andrew Benjamin Vizcarra, MD - Medicare Pediatrics in Sandpoint, ID