Dr Dwaine Anthony Tesnohlidek, MD is a medicare enrolled "Surgery" physician in Fruitland, Idaho. He went to University Of Washington School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice St Lukes Clinic-treasure Valley Llc, St Lukes Clinic-treasure Valley Llc and his current practice location is
1210 Nw 16th St, Fruitland, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 452-8600.
Dr Dwaine Anthony Tesnohlidek is licensed to practice in Idaho (license number M6508) 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 1437240009.
Physician's Profile
| Full Name | Dr Dwaine Anthony Tesnohlidek |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 35 Years |
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| Location | 1210 Nw 16th St, Fruitland, 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 Dwaine Anthony Tesnohlidek attended and graduated from University Of Washington School Of Medicine in 1989
NPI Data:
- NPI Number: 1437240009
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 09/18/2012
Medicare PECOS Information:
- PECOS PAC ID: 1355485061
- Enrollment ID: I20100218000762
Medical Identifiers
Medical identifiers for Dr Dwaine Anthony Tesnohlidek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437240009 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | MD18758 (Oregon) | Secondary |
| 208600000X | Surgery | M6508 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St Lukes Clinic-treasure Valley Llc | 4981878402 | 968 |
| St Lukes Clinic-treasure Valley Llc | 4981878402 | 968 |
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 Dwaine Anthony Tesnohlidek allows following entities to bill medicare on his behalf.
| Entity Name | St Lukes Clinic-treasure Valley Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20120420000013 |
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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 Dwaine Anthony Tesnohlidek 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 |
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Dr Dwaine Anthony Tesnohlidek, MD
190 E Bannock St,
Boise, ID 83712-6241
Ph: (208) 381-2222 | Dr Dwaine Anthony Tesnohlidek, MD
1210 Nw 16th St,
Fruitland, ID 83619-2202
Ph: (208) 452-8600 |
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