Jared Rex Wortham, DO - Medicare Pediatrics in Pocatello, ID

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Jared Rex Wortham, DO is a medicare enrolled "Pediatrics" physician in Pocatello, Idaho. His current practice location is 500 S 11th Ave Ste 204, Pocatello, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 232-3303.

Jared Rex Wortham is licensed to practice in Idaho (license number O-0924) 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 1902241235.

Contact Information

Jared Rex Wortham, DO
500 S 11th Ave Ste 204,
Pocatello, ID 83201-4878
(208) 232-3303
(855) 227-6711

Map and Direction




Physician's Profile

Full NameJared Rex Wortham
GenderMale
SpecialityPediatrics
Location500 S 11th Ave Ste 204, Pocatello, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902241235
  • Provider Enumeration Date: 04/30/2013
  • Last Update Date: 09/29/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1759675341
  • Enrollment ID: I20230822001484

Medical Identifiers

Medical identifiers for Jared Rex Wortham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902241235NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics O-0924 (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. Jared Rex Wortham allows following entities to bill medicare on his behalf.
Entity NameGrant County Public Hospital District 1
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619086766
PECOS PAC ID: 9931095692
Enrollment ID: O20040227000602

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. Jared Rex Wortham 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
Jared Rex Wortham, DO
500 S 11th Ave Ste 400,
Pocatello, ID 83201-4880

Ph: (208) 232-7862		Jared Rex Wortham, DO
500 S 11th Ave Ste 204,
Pocatello, ID 83201-4878

Ph: (208) 232-3303

Reviews and Comments


Pediatrics Doctors in Pocatello, ID

Christian Carter Yost, D.O.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 950 Hospital Way Ste A, Pocatello, ID 83201
Phone: 208-233-7337    Fax: 208-235-1839
Dr. Roger W. Boe, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 405 W Whitman St, Pocatello, ID 83204
Phone: 208-233-6833    
Alison Marie Mcinturff, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1151 Hospital Way Bldg F, Pocatello, ID 83201
Phone: 208-232-1443    
Andrea Lewis Swenson,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1110 Call Creek Dr Ste 7, Pocatello, ID 83201
Phone: 208-233-4660    Fax: 208-233-4262
Dr. Matthew Ayers Murdoch, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1151 Hospital Way, Building F, Pocatello, ID 83201
Phone: 208-232-1443    Fax: 208-239-3434
Dr. Gregory Daniel Kostur, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 500 S 11th Ave Ste 204, Pocatello, ID 83201
Phone: 208-232-3355    Fax: 855-230-7350
Dr. Shaun Stephen Summerill, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1151 Hospital Way, Bldg F, Pocatello, ID 83201
Phone: 208-232-1443    Fax: 208-239-3434

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.