Jonathan Moore Shupe, MD in Coeur D Alene, ID

Jonathan Moore Shupe, MD is a medicare enrolled "Family Medicine" physician in Coeur D Alene, Idaho. He went to University Of Connecticut School Of Medicine and graduated in 2011 and has 14 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Kootenai Health Inc and his current practice location is 1919 Lincoln Way, 315, Coeur D Alene, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 625-6000.

Jonathan Moore Shupe is licensed to practice in Idaho (license number M12445) 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 1417241597.

Contact Information

	Jonathan Moore Shupe, MD
	1919 Lincoln Way, 315, Coeur D Alene, ID 83814-2527
	(208) 625-6000
	(208) 625-6001

Map and Direction

Physician's Profile

Full Name	Jonathan Moore Shupe
Gender	Male
Speciality	Family Practice
Experience	14 Years
Location	1919 Lincoln Way, Coeur D Alene, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jonathan Moore Shupe attended and graduated from University Of Connecticut School Of Medicine in 2011

NPI Data:

NPI Number: 1417241597
Provider Enumeration Date: 06/06/2011
Last Update Date: 07/23/2025

Medicare PECOS Information:

PECOS PAC ID: 9234355686
Enrollment ID: I20140722000198

Medical Identifiers

Medical identifiers for Jonathan Moore Shupe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417241597	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	M12445 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kootenai Health	Coeur d'alene, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kootenai Health Inc	1355792276	382

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. Jonathan Moore Shupe allows following entities to bill medicare on his behalf.

Entity Name	Kootenai Health, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235288655 PECOS PAC ID: 4789641598 Enrollment ID: O20041214000230

Entity Name	Kootenai Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252

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. Jonathan Moore Shupe 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
Jonathan Moore Shupe, MD 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 625-5085	Jonathan Moore Shupe, MD 1919 Lincoln Way, 315, Coeur D Alene, ID 83814-2527 Ph: (208) 625-6000

Reviews and Comments

Family Medicine Doctors in Coeur D Alene, ID

Erica Magers, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 914 W Ironwood Dr Ste 101, Coeur D Alene, ID 83814 Phone: 208-625-3500 Fax: 208-625-3501
Dr. Stephen Paul Smiley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1130 W Prairie Ave, Coeur D Alene, ID 83815 Phone: 208-209-0288 Fax: 208-209-0289
Heidi A Herold, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 W Dalton Ave Ste B, Coeur D Alene, ID 83815 Phone: 208-209-2066 Fax: 208-209-2076
Ryan John Gilles, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1919 Lincoln Way, 315, Coeur D Alene, ID 83814 Phone: 208-625-6000 Fax: 208-625-6001
Dr. Matthew C. Bean, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1919 Lincoln Way Ste 315, Coeur D Alene, ID 83814 Phone: 208-625-6000 Fax: 208-625-6001
Alanna Caitlin Russo, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000
Crystal Lee Pyrak, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1919 Lincoln Way, Ste 315, Coeur D Alene, ID 83814 Phone: 208-625-6000 Fax: 208-625-6001

Jonathan Moore Shupe, MD - Medicare Family Practice in Coeur D Alene, ID