Dr Zachary N Bastian, MD is a medicare enrolled "Surgery" physician in Emmett, Idaho. His current practice location is
1024 E Locust St, Emmett, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 365-2338.
Dr Zachary N Bastian is licensed to practice in Idaho (license number M-12152) 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 1447412929.
Physician's Profile
| Full Name | Dr Zachary N Bastian |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 1024 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: 1447412929
- Provider Enumeration Date: 06/26/2008
- Last Update Date: 03/08/2017
Medicare PECOS Information:
- PECOS PAC ID: 3779734843
- Enrollment ID: I20140122001861
Medical Identifiers
Medical identifiers for Dr Zachary N Bastian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447412929 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | RL10648 (North Dakota) | Secondary |
| 208600000X | Surgery | 12284 (North Dakota) | Secondary |
| 208600000X | Surgery | MD165259 (Oregon) | Secondary |
| 208600000X | Surgery | M-12152 (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 Zachary N Bastian 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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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 Zachary N Bastian 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 Zachary N Bastian, MD
1024 E Locust St,
Emmett, ID 83617-2776
Ph: (208) 365-2338 | Dr Zachary N Bastian, MD
1024 E Locust St,
Emmett, ID 83617-2776
Ph: (208) 365-2338 |
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