Michael John Haderlie, MD - Medicare Nephrology in Chubbuck, ID

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Michael John Haderlie, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Chubbuck, Idaho. He went to Tulane University School Of Medicine and graduated in 2005 and has 20 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Idaho Kidney Institute Llp and his current practice location is 4511 Zebe Ave, Chubbuck, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 904-4780.

Michael John Haderlie is licensed to practice in Idaho (license number M-10858) 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 1700083813.

Contact Information

Michael John Haderlie, MD
4511 Zebe Ave,
Chubbuck, ID 83202-4707
(208) 904-4780
(208) 904-4832

Map and Direction




Physician's Profile

Full NameMichael John Haderlie
GenderMale
SpecialityNephrology
Experience20 Years
Location4511 Zebe Ave, Chubbuck, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael John Haderlie attended and graduated from Tulane University School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1700083813
  • Provider Enumeration Date: 07/02/2007
  • Last Update Date: 12/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5890888317
  • Enrollment ID: I20100723000560

Medical Identifiers

Medical identifiers for Michael John Haderlie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700083813NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology M-10858 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Liberty Dialysis - Idaho FallsIdaho falls, IDDialysis facility
Idaho Kidney Center - PocatelloPocatello, IDDialysis facility
Eastern Idaho Regional Medical CenterIdaho falls, IDHospital
Star Valley Medical CenterAfton, WYHospital
Mountain View HospitalIdaho falls, IDHospital
Madison Memorial HospitalRexburg, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Idaho Kidney Institute Llp903215531214

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. Michael John Haderlie allows following entities to bill medicare on his behalf.
Entity NameIdaho Kidney Institute Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013064690
PECOS PAC ID: 9032155312
Enrollment ID: O20050708000247
Entity NameBmh Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255539193
PECOS PAC ID: 8426149758
Enrollment ID: O20071018000897

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. Michael John Haderlie 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
Michael John Haderlie, MD
4511 Zebe Ave,
Chubbuck, ID 83202-4707

Ph: (208) 904-4780		Michael John Haderlie, MD
4511 Zebe Ave,
Chubbuck, ID 83202-4707

Ph: (208) 904-4780

Reviews and Comments


Internal Medicine Doctors in Chubbuck, ID

Fahim Rahim, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 4511 Zebe Ave, Chubbuck, ID 83202
Phone: 208-904-4780    Fax: 208-904-4832
Naeem Rahim, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 4511 Zebe Ave Ste 607, Chubbuck, ID 83202
Phone: 208-904-4780    Fax: 089-044-8322
Dr. Matthew Mitchell Day, APRN-CNP
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 4511 Zebe Ave, Chubbuck, ID 83202
Phone: 208-904-4832    

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.