Dr Edward Gerard Detar, MD in Coeur D Alene, ID

Dr Edward Gerard Detar, MD is a medicare enrolled "Surgery" physician in Coeur D Alene, Idaho. He went to Michigan State University College Of Human Medicine and graduated in 1998 and has 27 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Kootenai Health Inc and his current practice location is 700 W Ironwood Dr Ste 341, Coeur D Alene, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 625-5200.

Dr Edward Gerard Detar is licensed to practice in Idaho (license number M-9855) 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 1194706465.

Contact Information

	Dr Edward Gerard Detar, MD
	700 W Ironwood Dr Ste 341, Coeur D Alene, ID 83814-4404
	(208) 625-5200
	(208) 625-5201

Map and Direction

Physician's Profile

Full Name	Dr Edward Gerard Detar
Gender	Male
Speciality	General Surgery
Experience	27 Years
Location	700 W Ironwood Dr Ste 341, Coeur D Alene, Idaho
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:

Dr Edward Gerard Detar attended and graduated from Michigan State University College Of Human Medicine in 1998

NPI Data:

NPI Number: 1194706465
Provider Enumeration Date: 11/14/2005
Last Update Date: 04/14/2025

Medicare PECOS Information:

PECOS PAC ID: 6002805868
Enrollment ID: I20080912000184

Medical Identifiers

Medical identifiers for Dr Edward Gerard Detar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194706465	NPI	-	NPPES
77068	Other	ID	BC ID
P00448097	Other	ID	RR MEDICARE
807836200	Medicaid	ID
1124619	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	M-9855 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kootenai Health	Coeur d'alene, ID	Hospital
Clearwater Valley Hospital & Clinics	Orofino, ID	Hospital
Northwest Specialty Hospital	Post falls, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kootenai Health Inc	1355792276	382

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 Edward Gerard Detar allows following entities to bill medicare on his behalf.

Entity Name	Clearwater Valley Hospital & Clinics Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073551396 PECOS PAC ID: 0547173346 Enrollment ID: O20031117000264

Entity Name	Kootenai Health, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235288655 PECOS PAC ID: 4789641598 Enrollment ID: O20041214000230

Entity Name	Kootenai Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252

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 Edward Gerard Detar 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 Edward Gerard Detar, MD 700 W Ironwood Dr, Suite 304, Coeur D Alene, ID 83814-2656 Ph: (208) 625-5200	Dr Edward Gerard Detar, MD 700 W Ironwood Dr Ste 341, Coeur D Alene, ID 83814-4404 Ph: (208) 625-5200

Reviews and Comments

Surgery Doctors in Coeur D Alene, ID

Dr. Lucas Aaron Anderson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000
Michael Thomas May, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 341, Coeur D Alene, ID 83814 Phone: 208-625-5200 Fax: 208-625-5201
Dr. Robert Sumner West, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3621 W Fairway Dr, Coeur D Alene, ID 83815 Phone: 208-765-0714 Fax: 209-664-8238
Dr. Marcus Jewell Torgenson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 341, Coeur D Alene, ID 83814 Phone: 208-625-5200 Fax: 208-625-5201
Stephanie Rose Moline, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 130, Coeur D Alene, ID 83814 Phone: 208-625-4700 Fax: 208-625-4701
Dr. Cory Glen Richardson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3318 N Grandmill Ln, Coeur D Alene, ID 83814 Phone: 208-292-0445 Fax: 208-772-6514

Dr Edward Gerard Detar, MD - Medicare General Surgery in Coeur D Alene, ID