Dr Charles Jeffrey Zollinger, MD is a medicare enrolled "General Practice" physician in Rexburg, Idaho. He graduated from medical school in 1978 and has 46 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Madison Co Memorial Hospital and his current practice location is
393 E 2nd N, Rexburg, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 356-5401.
Dr Charles Jeffrey Zollinger is licensed to practice in Idaho (license number M4211) 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 1629182282.
Physician's Profile
| Full Name | Dr Charles Jeffrey Zollinger |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 46 Years |
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| Location | 393 E 2nd N, Rexburg, 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. |
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Medical Education and Training:
- Dr Charles Jeffrey Zollinger graduated from medical school in 1978
NPI Data:
- NPI Number: 1629182282
- Provider Enumeration Date: 08/19/2006
- Last Update Date: 04/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 4880683853
- Enrollment ID: I20040506001245
Medical Identifiers
Medical identifiers for Dr Charles Jeffrey Zollinger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629182282 | NPI | - | NPPES |
| 004021800 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | M4211 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Madison Co Memorial Hospital | 8123016367 | 25 |
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 Charles Jeffrey Zollinger allows following entities to bill medicare on his behalf.
| Entity Name | Madison Co Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134592017
PECOS PAC ID: 8123016367
Enrollment ID: O20040505000664 |
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| Entity Name | Madison Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346643038
PECOS PAC ID: 4183949522
Enrollment ID: O20150206000933 |
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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. Dr Charles Jeffrey Zollinger 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 Charles Jeffrey Zollinger, MD
393 E 2nd N,
Rexburg, ID 83440-1605
Ph: (208) 356-5401 | Dr Charles Jeffrey Zollinger, MD
393 E 2nd N,
Rexburg, ID 83440-1605
Ph: (208) 356-5401 |
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