Dr Susan P Etheridge, MD in Boise, ID - Medicare Pediatric Medicine

Dr Susan P Etheridge, MD is a medicare enrolled "Internal Medicine - Clinical Cardiac Electrophysiology" physician in Boise, Idaho. She went to Rush Medical College Of Rush University and graduated in 1987 and has 37 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice University Of Utah Pediatric Services, Alaska Heart Institute and her current practice location is 305 E Jefferson St, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 381-7370.

Dr Susan P Etheridge is licensed to practice in Idaho (license number M-17302) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1952480527.

Contact Information

	Dr Susan P Etheridge, MD
	305 E Jefferson St, Boise, ID 83712-6231
	(208) 381-7370
	(208) 381-7387

Map and Direction

Physician's Profile

Full Name	Dr Susan P Etheridge
Gender	Female
Speciality	Pediatric Medicine
Experience	37 Years
Location	305 E Jefferson St, Boise, Idaho
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Susan P Etheridge attended and graduated from Rush Medical College Of Rush University in 1987

NPI Data:

NPI Number: 1952480527
Provider Enumeration Date: 11/03/2006
Last Update Date: 01/18/2024

Medicare PECOS Information:

PECOS PAC ID: 9032002894
Enrollment ID: I20040205000287

Medical Identifiers

Medical identifiers for Dr Susan P Etheridge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952480527	NPI	-	NPPES
1018632	Medicaid	AK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0001X	Internal Medicine - Clinical Cardiac Electrophysiology	M-17302 (Idaho)	Primary
207RC0001X	Internal Medicine - Clinical Cardiac Electrophysiology	8186 (Alaska)	Secondary
2080P0202X	Pediatrics - Pediatric Cardiology	273593-1205 (Utah)	Secondary
207RC0001X	Internal Medicine - Clinical Cardiac Electrophysiology	273593-1205 (Utah)	Secondary
208000000X	Pediatrics	8186 (Alaska)	Secondary
208000000X	Pediatrics	273593-1205 (Utah)	Secondary
2080P0202X	Pediatrics - Pediatric Cardiology	8389 (Alaska)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Utah Pediatric Services	0547552473	62
Alaska Heart Institute	2668371469	57

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 Susan P Etheridge allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

Entity Name	University Of Utah Pediatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371

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 Susan P Etheridge 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 Susan P Etheridge, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: () -	Dr Susan P Etheridge, MD 305 E Jefferson St, Boise, ID 83712-6231 Ph: (208) 381-7370

Reviews and Comments

Internal Medicine Doctors in Boise, ID

Dr. Jennifer A Hofstra, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Road, Boise, ID 83706 Phone: 757-446-8920 Fax: 757-446-5242
Dr. James Robert Polk, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-3104
Dr. Michael Frederic Krug, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 500 W. Fort St, # 111, Boise, ID 83702 Phone: 208-422-1000 Fax: 208-422-1319
Derrel V Walker, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1055 N Curtis Road, Boise, ID 83706 Phone: 208-367-7350 Fax: 208-367-3951
Dr. Janat E. O'donnell, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 500 W. Fort St., # 111, Boise, ID 83702 Phone: 208-422-1325 Fax: 208-422-1319
Carl L Durning, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6094 W Emerald St, Boise, ID 83704 Phone: 208-367-6575 Fax: 208-367-6597
Dr. Christopher J Goulet, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6259 W Emerald St, Boise, ID 83704 Phone: 208-489-1900 Fax: 208-375-5286

Dr Susan P Etheridge, MD - Medicare Pediatric Medicine in Boise, ID