Kelsey Kuipers, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Coeur D Alene, Idaho. Her current practice location is
1919 Lincoln Way Ste 315, Coeur D Alene, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 625-6029.
Kelsey Kuipers is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790429504.
Physician's Profile
| Full Name | Kelsey Kuipers |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1919 Lincoln Way Ste 315, Coeur D Alene, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790429504
- Provider Enumeration Date: 04/27/2022
- Last Update Date: 07/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 6901264217
- Enrollment ID: I20240703000264
Medical Identifiers
Medical identifiers for Kelsey Kuipers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790429504 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | M-17751 (Idaho) | Secondary |
| 208M00000X | Hospitalist | M-17751 (Idaho) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Kelsey Kuipers allows following entities to bill medicare on her behalf.
| Entity Name | Kootenai Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252 |
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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. Kelsey Kuipers 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 |
Kelsey Kuipers, MD 24589 Tiffany Ln., Hermosa, SD 57744 Ph: (605) 391-8310 | Kelsey Kuipers, MD 1919 Lincoln Way Ste 315, Coeur D Alene, ID 83814-2527 Ph: (208) 625-6029 |
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