Tanner Souza, DO in Coeur D Alene, ID - Medicare Osteopathic Manipulative Medicine

Tanner Souza, DO is a medicare enrolled "Family Medicine" physician in Coeur D Alene, Idaho. He went to Touro Un Col Of Osteopathic Medicine, Henderson and graduated in 2021 and has 4 years of diverse experience with area of expertise as Osteopathic Manipulative Medicine. He is a member of the group practice Praxis Health Pc and his current practice location is 1130 W Prairie Ave, Coeur D Alene, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 209-0288.

Tanner Souza is licensed to practice in Idaho (license number 0-1993) 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 1447837166.

Contact Information

	Tanner Souza, DO
	1130 W Prairie Ave, Coeur D Alene, ID 83815-8780
	(208) 209-0288
	(208) 209-0289

Map and Direction

Physician's Profile

Full Name	Tanner Souza
Gender	Male
Speciality	Osteopathic Manipulative Medicine
Experience	4 Years
Location	1130 W Prairie Ave, Coeur D Alene, 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:

Tanner Souza attended and graduated from Touro Un Col Of Osteopathic Medicine, Henderson in 2021

NPI Data:

NPI Number: 1447837166
Provider Enumeration Date: 03/27/2021
Last Update Date: 08/23/2024

Medicare PECOS Information:

PECOS PAC ID: 8729476676
Enrollment ID: I20240919003808

Medical Identifiers

Medical identifiers for Tanner Souza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447837166	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	DO3477 (Nevada)	Secondary
207Q00000X	Family Medicine	0-1993 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kootenai Health	Coeur d'alene, ID	Hospital
Northwest Specialty Hospital	Post falls, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Praxis Health Pc	8325941446	148

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. Tanner Souza allows following entities to bill medicare on his behalf.

Entity Name	Praxis Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821068164 PECOS PAC ID: 8325941446 Enrollment ID: O20100614000879

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. Tanner Souza 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
Tanner Souza, DO Po Box 1517, Pendleton, OR 97801-0410 Ph: (541) 278-4332	Tanner Souza, DO 1130 W Prairie Ave, Coeur D Alene, ID 83815-8780 Ph: (208) 209-0288

Reviews and Comments

Family Medicine Doctors in Coeur D Alene, ID

Erica Magers, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 914 W Ironwood Dr Ste 101, Coeur D Alene, ID 83814 Phone: 208-625-3500 Fax: 208-625-3501
Dr. Stephen Paul Smiley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1130 W Prairie Ave, Coeur D Alene, ID 83815 Phone: 208-209-0288 Fax: 208-209-0289
Heidi A Herold, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 W Dalton Ave Ste B, Coeur D Alene, ID 83815 Phone: 208-209-2066 Fax: 208-209-2076
Ryan John Gilles, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1919 Lincoln Way, 315, Coeur D Alene, ID 83814 Phone: 208-625-6000 Fax: 208-625-6001
Dr. Matthew C. Bean, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1919 Lincoln Way Ste 315, Coeur D Alene, ID 83814 Phone: 208-625-6000 Fax: 208-625-6001
Alanna Caitlin Russo, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000
Crystal Lee Pyrak, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1919 Lincoln Way, Ste 315, Coeur D Alene, ID 83814 Phone: 208-625-6000 Fax: 208-625-6001

Tanner Souza, DO - Medicare Osteopathic Manipulative Medicine in Coeur D Alene, ID