James D Petersen, MD - Medicare Family Medicine in Pocatello, ID

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James D Petersen, MD is a medicare enrolled "Family Medicine" physician in Pocatello, Idaho. His current practice location is 465 Memorial Dr, Pocatello, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 234-4700.

James D Petersen is licensed to practice in Idaho (license number MRM-2027) 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 1437724432.

Contact Information

James D Petersen, MD
465 Memorial Dr,
Pocatello, ID 83201-4008
(208) 234-4700
Not Available

Map and Direction




Physician's Profile

Full NameJames D Petersen
GenderMale
SpecialityFamily Medicine
Location465 Memorial Dr, Pocatello, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437724432
  • Provider Enumeration Date: 05/21/2021
  • Last Update Date: 05/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3173925021
  • Enrollment ID: I20230124000710

Medical Identifiers

Medical identifiers for James D Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437724432NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MRM-2027 (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. James D Petersen allows following entities to bill medicare on his behalf.
Entity NameSyringa General Hospital District C I F
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750336608
PECOS PAC ID: 6800707530
Enrollment ID: O20041008000778
Entity NameCaribou Medical Center, Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1942970272
PECOS PAC ID: 7618365701
Enrollment ID: O20211021002404

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. James D Petersen 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 AddressPractice Location Address
James D Petersen, MD
500 S 11th Ave Ste 400,
Pocatello, ID 83201-4880

Ph: () -		James D Petersen, MD
465 Memorial Dr,
Pocatello, ID 83201-4008

Ph: (208) 234-4700

Reviews and Comments


Family Medicine Doctors in Pocatello, ID

Shayna Larae Harding, APRN
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1133 Call Creek Dr # A, Pocatello, ID 83201
Phone: 208-232-1000    Fax: 208-232-1006
Cody E Patterson, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 151 N 4th Ave, Pocatello, ID 83201
Phone: 208-269-7147    Fax: 208-416-6522
Dr. Bradley Yamashita Beaufort, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 465 Memorial Dr, Pocatello, ID 83201
Phone: 208-282-4700    Fax: 208-282-4696
Ryan Hudgens, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 465 Memorial Dr, Pocatello, ID 83201
Phone: 208-232-7862    
Shaylor Bringhurst, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 465 Memorial Dr, Pocatello, ID 83201
Phone: 208-232-7862    
Dr. Sharla Clark, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1951 Bench Road, Suite B, Pocatello, ID 83201
Phone: 208-238-1000    Fax: 208-238-0009
Joseph Alfred Enfonde, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 465 Memorial Dr, Pocatello, ID 83201
Phone: 208-282-3264    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.