Matt Tannenbaum, MD in Idaho Falls, ID

Matt Tannenbaum, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Idaho Falls, Idaho. His current practice location is 3100 Channing Way, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 529-6050.

Matt Tannenbaum is licensed to practice in Idaho (license number M7775) 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 1093783375.

Contact Information

	Matt Tannenbaum, MD
	3100 Channing Way, Idaho Falls, ID 83404-7533
	(208) 529-6050
	(208) 529-7085

Map and Direction

Physician's Profile

Full Name	Matt Tannenbaum
Gender	Male
Speciality
Experience	Years
Location	3100 Channing Way, Idaho Falls, 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:

Matt Tannenbaum attended and graduated from in

NPI Data:

NPI Number: 1093783375
Provider Enumeration Date: 03/10/2006
Last Update Date: 12/27/2012

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Matt Tannenbaum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093783375	NPI	-	NPPES
000010005388	Other	ID	REGENCE BLUE SHIELD ID
805449000	Medicaid	ID
32946	Other	ID	BLUE CROSS OF ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	M7775 (Idaho)	Primary

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. Matt Tannenbaum 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
Matt Tannenbaum, MD 1820 E 17th St, Ste 230, Idaho Falls, ID 83404-6521 Ph: (208) 529-9779	Matt Tannenbaum, MD 3100 Channing Way, Idaho Falls, ID 83404-7533 Ph: (208) 529-6050

Reviews and Comments

Pathology Doctors in Idaho Falls, ID

Gary Earl Ellwein, MD Pathology Medicare: Medicare Enrolled Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6050 Fax: 208-529-7085
Clark R Daines, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6050 Fax: 208-529-7085
Floyd Joseph Fantelli, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6050 Fax: 208-529-7085
Dr. Gabriele Emma Teermann, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6048 Fax: 208-529-7085

Matt Tannenbaum, MD - Medicare in Idaho Falls, ID