Mrs Deanna M Pitman, DO in Nampa, ID

Mrs Deanna M Pitman, DO is a medicare enrolled "Pediatrics" physician in Nampa, Idaho. Her current practice location is 215 E Hawaii Ave # 140, Nampa, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 514-2502.

Mrs Deanna M Pitman is licensed to practice in Idaho (license number O0368) 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 1639169626.

Contact Information

	Mrs Deanna M Pitman, DO
	215 E Hawaii Ave # 140, Nampa, ID 83686-6011
	(208) 514-2502
	(208) 375-2217

Map and Direction

Physician's Profile

Full Name	Mrs Deanna M Pitman
Gender	Female
Speciality	Pediatrics
Location	215 E Hawaii Ave # 140, Nampa, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639169626
Provider Enumeration Date: 10/21/2005
Last Update Date: 01/25/2024

Medicare PECOS Information:

PECOS PAC ID: 3375574981
Enrollment ID: I20050823001147

Medical Identifiers

Medical identifiers for Mrs Deanna M Pitman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639169626	NPI	-	NPPES
1639169626	Medicaid	ID
000010150852	Other	ID	BLUE SHIELD
75085	Other	ID	BLUE CROSS
807228800	Medicaid	ID
807228900	Other	ID	HEALTHY CONNECTIONS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	O0368 (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. Mrs Deanna M Pitman allows following entities to bill medicare on her behalf.

Entity Name	Full Circle Health, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841490075 PECOS PAC ID: 6709986797 Enrollment ID: O20070924000618

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. Mrs Deanna M Pitman 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
Mrs Deanna M Pitman, DO 777 N Raymond St, Boise, ID 83704-9251 Ph: (208) 514-2500	Mrs Deanna M Pitman, DO 215 E Hawaii Ave # 140, Nampa, ID 83686-6011 Ph: (208) 514-2502

Reviews and Comments

Pediatrics Doctors in Nampa, ID

Thomas J Hammer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1209 N Jacob Allcott Way, Nampa, ID 83687 Phone: 208-461-8700 Fax: 208-461-8705
Dr. Brian S Liddell, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 9850 W St Lukes Dr Ste 270, Nampa, ID 83687 Phone: 208-205-7820
Dr. Joseph Gregory Wilbanks, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9850 W St Lukes Dr Ste 270, Nampa, ID 83687 Phone: 208-205-7820 Fax: 208-205-7822
Mrs. Jeannette E Jain, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 215 E Hawaii Ave, Nampa, ID 83686 Phone: 208-468-5930 Fax: 208-463-3044
Joseph L Papiez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 215 E Hawaii Ave, Nampa, ID 83686 Phone: 208-468-5930 Fax: 208-463-3044
Dr. Amanda King Mason, M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 215 E Hawaii Ave, Nampa, ID 83686 Phone: 208-463-3000 Fax: 208-463-3351
Michael B Aldous, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1510 12th Ave Rd Ste 200, Nampa, ID 83686 Phone: 208-302-6800 Fax: 208-302-6855

Mrs Deanna M Pitman, DO - Medicare Pediatrics in Nampa, ID