Dr Jonathan Walden Housley, MD is a medicare enrolled "Family Medicine" physician in Soda Springs, Idaho. He went to New York Medical College and graduated in 2003 and has 21 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Caribou Medical Center, Inc and his current practice location is
300 S 3rd W, Soda Springs, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 547-4961.
Dr Jonathan Walden Housley is licensed to practice in Idaho (license number M-9862) 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 1457382244.
Physician's Profile
| Full Name | Dr Jonathan Walden Housley |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 21 Years |
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| Location | 300 S 3rd W, Soda Springs, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jonathan Walden Housley attended and graduated from New York Medical College in 2003
NPI Data:
- NPI Number: 1457382244
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 10/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 0749285393
- Enrollment ID: I20080207000147
Medical Identifiers
Medical identifiers for Dr Jonathan Walden Housley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457382244 | NPI | - | NPPES |
| 1285970582 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | M-9862 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Caribou Medical Center, Inc | 7618365701 | 18 |
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 Jonathan Walden Housley allows following entities to bill medicare on his behalf.
| Entity Name | Caribou Medical Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942970272
PECOS PAC ID: 7618365701
Enrollment ID: O20220314000619 |
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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 Jonathan Walden Housley 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 |
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Dr Jonathan Walden Housley, MD
300 S 3rd W,
Soda Springs, ID 83276-1559
Ph: (208) 547-3341 | Dr Jonathan Walden Housley, MD
300 S 3rd W,
Soda Springs, ID 83276-1559
Ph: (208) 547-4961 |
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