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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