Kelly L Dustin, DO in Rexburg, ID - Medicare Family Practice

Kelly L Dustin, DO is a medicare enrolled "Family Medicine" physician in Rexburg, Idaho. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2006 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Fall River Medical Pllc and his current practice location is 21 Winn Dr, Rexburg, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 881-5222.

Kelly L Dustin is licensed to practice in Idaho (license number O-0459) 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 1114957362.

Contact Information

	Kelly L Dustin, DO
	21 Winn Dr, Rexburg, ID 83440-5277
	(208) 881-5222
	(877) 441-4715

Map and Direction

Physician's Profile

Full Name	Kelly L Dustin
Gender	Male
Speciality	Family Practice
Experience	19 Years
Location	21 Winn Dr, Rexburg, 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:

Kelly L Dustin attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2006

NPI Data:

NPI Number: 1114957362
Provider Enumeration Date: 07/04/2006
Last Update Date: 11/19/2019

Medicare PECOS Information:

PECOS PAC ID: 2264583459
Enrollment ID: I20090629000517

Medical Identifiers

Medical identifiers for Kelly L Dustin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114957362	NPI	-	NPPES
8035175	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	O-0459 (Idaho)	Primary
390200000X	Student In An Organized Health Care Education/training Program	MR0875 (Idaho)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fall River Medical Pllc	4981846698	6

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. Kelly L Dustin allows following entities to bill medicare on his behalf.

Entity Name	Fall River Medical Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457698987 PECOS PAC ID: 4981846698 Enrollment ID: O20130808000831

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. Kelly L Dustin 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
Kelly L Dustin, DO 794 Eastland Dr, Twin Falls, ID 83301-6856 Ph: (208) 734-3312	Kelly L Dustin, DO 21 Winn Dr, Rexburg, ID 83440-5277 Ph: (208) 881-5222

Reviews and Comments

Family Medicine Doctors in Rexburg, ID

Corey T Rammell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-356-3691
Austin C Gillette, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21 Winn Dr, Rexburg, ID 83440 Phone: 208-881-5222 Fax: 877-441-4715
Michael Anderson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-356-3691
Brian Paul Beesley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 37 S 2nd E, Rexburg, ID 83440 Phone: 208-356-0234 Fax: 208-656-8444
Gary R Sena, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 37 S 2nd E, Rexburg, ID 83440 Phone: 208-356-0234
Dr. Clay Christian Prince, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Madison Professional Park, Rexburg, ID 83440 Phone: 208-656-9467 Fax: 208-656-9466

Kelly L Dustin, DO - Medicare Family Practice in Rexburg, ID