Kendra Mae Black-smith, MD in Coeur D Alene, ID

Kendra Mae Black-smith, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Coeur D Alene, Idaho. Her current practice location is 2003 Kootenai Health Way, Coeur D Alene, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 625-5185.

Kendra Mae Black-smith is licensed to practice in Idaho (license number M14495) 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 1790866044.

Contact Information

	Kendra Mae Black-smith, MD
	2003 Kootenai Health Way, Coeur D Alene, ID 83814
	(208) 625-5185
	(208) 625-6892

Map and Direction

Physician's Profile

Full Name	Kendra Mae Black-smith
Gender	Female
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	2003 Kootenai Health Way, Coeur D Alene, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790866044
Provider Enumeration Date: 10/17/2006
Last Update Date: 04/03/2019

Medicare PECOS Information:

PECOS PAC ID: 6204857261
Enrollment ID: I20051219000194

Medical Identifiers

Medical identifiers for Kendra Mae Black-smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790866044	NPI	-	NPPES
272030	Other		INTERNAL ID-MOTOR VEHICLE ID
8269235	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	MD00039197 (Washington)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	M14495 (Idaho)	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. Kendra Mae Black-smith allows following entities to bill medicare on her behalf.

Entity Name	The Association Of University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244

Entity Name	The Association Of Chrmc And University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255449963 PECOS PAC ID: 9133032964 Enrollment ID: O20031107000585

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. Kendra Mae Black-smith 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
Kendra Mae Black-smith, MD 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 625-5059	Kendra Mae Black-smith, MD 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Ph: (208) 625-5185

Reviews and Comments

Pediatrics Doctors in Coeur D Alene, ID

Dr. Thomas R Rau, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814 Phone: 208-667-0585 Fax: 208-667-0876
Terence Earl Neff, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814 Phone: 208-667-0585 Fax: 208-667-0876
Dr. Brook Yuknis Lang, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-5185 Fax: 208-625-5892
Dr. Mary Jo Shaw, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814 Phone: 208-667-0585 Fax: 208-667-0876
Dr. Beth Ann Martin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814 Phone: 208-667-0585 Fax: 208-667-0876
Dr. Cheri Kathleen Savage, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814 Phone: 208-667-0585 Fax: 208-667-0876
Dr. Rene Chalom, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-5930 Fax: 208-625-5931

Kendra Mae Black-smith, MD - Medicare Pediatrics in Coeur D Alene, ID