Dr Nina Kellie Lateefee Abul-husn, MD, MSPH - Medicare Family Medicine in Pocatello, ID

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Dr Nina Kellie Lateefee Abul-husn, MD, MSPH is a medicare enrolled "Family Medicine - Addiction Medicine" physician in Pocatello, Idaho. Her current practice location is 2785 Bannock Hwy, Pocatello, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 904-2654.

Dr Nina Kellie Lateefee Abul-husn is licensed to practice in Idaho (license number M-13784) 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 1538421094.

Contact Information

Dr Nina Kellie Lateefee Abul-husn, MD, MSPH
2785 Bannock Hwy,
Pocatello, ID 83204-3607
(208) 904-2654
Not Available

Map and Direction




Physician's Profile

Full NameDr Nina Kellie Lateefee Abul-husn
GenderFemale
SpecialityFamily Medicine - Addiction Medicine
Location2785 Bannock Hwy, Pocatello, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538421094
  • Provider Enumeration Date: 06/11/2012
  • Last Update Date: 12/23/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9133366990
  • Enrollment ID: I20170725003982

Medical Identifiers

Medical identifiers for Dr Nina Kellie Lateefee Abul-husn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538421094NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0401XFamily Medicine - Addiction Medicine MED-PHYS-COM-LIC-147 (Montana)Secondary
208D00000XGeneral Practice MED-PHYS-COM-LIC-147 (Montana)Secondary
208D00000XGeneral Practice M-13784 (Idaho)Secondary
207QA0401XFamily Medicine - Addiction Medicine M-13784 (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. Dr Nina Kellie Lateefee Abul-husn allows following entities to bill medicare on her behalf.
Entity NameTrivium Life Services Mountain West, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194962829
PECOS PAC ID: 2163555053
Enrollment ID: O20100728001248
Entity NameRaise The Bottom Training & Counseling Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962707166
PECOS PAC ID: 0244668341
Enrollment ID: O20200604002688
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210309003127

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. Dr Nina Kellie Lateefee Abul-husn 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
Dr Nina Kellie Lateefee Abul-husn, MD, MSPH
1603 12th Ave Rd Ste B,
Nampa, ID 83686-6100

Ph: (120) 844-2009		Dr Nina Kellie Lateefee Abul-husn, MD, MSPH
2785 Bannock Hwy,
Pocatello, ID 83204-3607

Ph: (208) 904-2654

Reviews and Comments


Family Medicine Doctors in Pocatello, ID

Katelyn Bercaw, DO
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Practice Location: 465 Memorial Dr, Pocatello, ID 83201
Phone: 208-232-7862    
Shayna Larae Harding, APRN
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Practice Location: 1133 Call Creek Dr # A, Pocatello, ID 83201
Phone: 208-232-1000    Fax: 208-232-1006
Brandon Pace, DO
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Practice Location: 465 Memorial Dr, Pocatello, ID 83201
Phone: 208-232-7862    
Cody E Patterson, DO
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Practice Location: 151 N 4th Ave, Pocatello, ID 83201
Phone: 208-269-7147    Fax: 208-416-6522
Dr. Bradley Yamashita Beaufort, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 465 Memorial Dr, Pocatello, ID 83201
Phone: 208-282-4700    Fax: 208-282-4696
Shaylor Bringhurst, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 465 Memorial Dr, Pocatello, ID 83201
Phone: 208-232-7862    
Dr. Sharla Clark, D.O.
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Medicare: Not Enrolled in Medicare
Practice Location: 1951 Bench Road, Suite B, Pocatello, ID 83201
Phone: 208-238-1000    Fax: 208-238-0009

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.