John Clark Mayberry, MD - Medicare General Surgery in Caldwell, ID

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John Clark Mayberry, MD is a medicare enrolled "Surgery" physician in Caldwell, Idaho. He went to Oregon Health Sciences University School Of Medicine and graduated in 1986 and has 40 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Pine Ridge Indian Health Service Hospital and his current practice location is 1906 Fairview Ave Ste 130, Caldwell, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 453-4260.

John Clark Mayberry is licensed to practice in Idaho (license number M-12108) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528074077.

Contact Information

John Clark Mayberry, MD
1906 Fairview Ave Ste 130,
Caldwell, ID 83605-5433
(208) 453-4260
(844) 213-3678

Map and Direction




Physician's Profile

Full NameJohn Clark Mayberry
GenderMale
SpecialityGeneral Surgery
Experience40 Years
Location1906 Fairview Ave Ste 130, Caldwell, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • John Clark Mayberry attended and graduated from Oregon Health Sciences University School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1528074077
  • Provider Enumeration Date: 08/01/2006
  • Last Update Date: 10/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1456247980
  • Enrollment ID: I20250203001269

Medical Identifiers

Medical identifiers for John Clark Mayberry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528074077NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0102XSurgery - Surgical Critical Care M-12108 (Idaho)Secondary
208600000XSurgery M-12108 (Idaho)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pine Ridge Indian Health Service Hospital468857132685

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. John Clark Mayberry allows following entities to bill medicare on his behalf.
Entity NamePine Ridge Indian Health Service Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497786412
PECOS PAC ID: 4688571326
Enrollment ID: O20031218000966

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. John Clark Mayberry 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
John Clark Mayberry, MD
Po Box 1074,
Caldwell, ID 83606-1074

Ph: (208) 453-4260		John Clark Mayberry, MD
1906 Fairview Ave Ste 130,
Caldwell, ID 83605-5433

Ph: (208) 453-4260

Reviews and Comments


Surgery Doctors in Caldwell, ID

Dr. Ryan W. Hardy, M.D.
Surgery
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Practice Location: 315 E Elm St Ste 350, Caldwell, ID 83605
Phone: 208-459-0028    
Jon Moore Agee, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 404 E Elm St, Caldwell, ID 83605
Phone: 208-459-0028    Fax: 208-459-0380
Dr. Adam D. Bell, DO
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 315 E Elm St Ste 350, Caldwell, ID 83605
Phone: 208-459-0028    Fax: 208-504-4311
Dr. M Whitney Parnell, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 315 E Elm St Ste 350, Caldwell, ID 83605
Phone: 208-459-0028    

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.