Dr Jerod L Hines, MD is a medicare enrolled "Orthopaedic Surgery" physician in Emmett, Idaho. His current practice location is
1202 E Locust St, Emmett, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 365-3563.
Dr Jerod L Hines is licensed to practice in Idaho (license number M-11820) 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 1760726897.
Physician's Profile
| Full Name | Dr Jerod L Hines |
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| Gender | Male |
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| Speciality | Orthopaedic Surgery |
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| Location | 1202 E Locust St, Emmett, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1760726897
- Provider Enumeration Date: 11/15/2012
- Last Update Date: 11/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 0345469623
- Enrollment ID: I20160922000045
Medical Identifiers
Medical identifiers for Dr Jerod L Hines such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760726897 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | MD214337 (Oregon) | Secondary |
| 207X00000X | Orthopaedic Surgery | M-11820 (Idaho) | 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 Jerod L Hines allows following entities to bill medicare on his behalf.
| Entity Name | Walter Knox Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063419018
PECOS PAC ID: 7012907785
Enrollment ID: O20040514000512 |
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| Entity Name | Walter Knox Memorial Hospital |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1063419018
PECOS PAC ID: 7012907785
Enrollment ID: O20160721000463 |
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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 Jerod L Hines 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 Jerod L Hines, MD
1060 W Idaho Blvd,
Emmett, ID 83617-9644
Ph: (208) 954-1762 | Dr Jerod L Hines, MD
1202 E Locust St,
Emmett, ID 83617-2715
Ph: (208) 365-3563 |
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