Kirk D Prodzinski, DO - Medicare Family Medicine in Emmett, ID

  1. Home
  2. Family Medicine
  3. ID
  4. Emmett
Kirk D Prodzinski, DO is a medicare enrolled "Family Medicine" physician in Emmett, Idaho. His current practice location is 207 E 12th St, Emmett, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 365-1065.

Kirk D Prodzinski is licensed to practice in Idaho (license number O-0600) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245206648.

Contact Information

Kirk D Prodzinski, DO
207 E 12th St,
Emmett, ID 83617-3626
(208) 365-1065
(208) 365-1068

Map and Direction




Physician's Profile

Full NameKirk D Prodzinski
GenderMale
SpecialityFamily Medicine
Location207 E 12th St, Emmett, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245206648
  • Provider Enumeration Date: 02/24/2006
  • Last Update Date: 04/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4183642531
  • Enrollment ID: I20110620000543

Medical Identifiers

Medical identifiers for Kirk D Prodzinski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245206648NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 41285 (Wisconsin)Secondary
207Q00000XFamily Medicine 42041 (Minnesota)Secondary
207Q00000XFamily Medicine 04555 (Iowa)Secondary
207Q00000XFamily Medicine O-0600 (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. Kirk D Prodzinski allows following entities to bill medicare on his behalf.
Entity NameValley Family Health Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407886484
PECOS PAC ID: 0547169591
Enrollment ID: O20040108000205
Entity NameSouthern Idaho Health Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952701401
PECOS PAC ID: 5395063564
Enrollment ID: O20150420000863

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. Kirk D Prodzinski 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 AddressPractice Location Address
Kirk D Prodzinski, DO
1441 Ne 10th Ave,
Payette, ID 83661-5420

Ph: (208) 642-9376		Kirk D Prodzinski, DO
207 E 12th St,
Emmett, ID 83617-3626

Ph: (208) 365-1065

Reviews and Comments


Family Medicine Doctors in Emmett, ID

Shannon D. Schantz, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 207 E 12th St, Emmett, ID 83617
Phone: 208-365-1065    Fax: 208-365-1065
Tina A Mcguffey, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 426 Highway 16, Emmett, ID 83617
Phone: 208-365-2735    Fax: 208-365-2737
Jonathan Bret Barrus, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2020 S Johns Ave Ste B, Emmett, ID 83617
Phone: 208-369-4340    
Dr. Robin D Sebastian, M.D., FAAFP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1102 E Locust St, Emmett, ID 83617
Phone: 208-365-6004    Fax: 208-365-3589
Klint Howard Stander, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1202 E Locast St, Walter Knox Memorial Hospital, Emmett, ID 83617
Phone: 208-365-3561    Fax: 208-365-4176
Bryan Stone, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 207 E 12th St, Emmett, ID 83617
Phone: 208-365-1065    Fax: 208-365-1068

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.