Brady Kyle Shepherd, - Medicare Nurse Anesthetist, Certified Registered in Pocatello, ID

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Brady Kyle Shepherd, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Pocatello, Idaho. His current practice location is 777 Hospital Way, Pocatello, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 239-1000.

Brady Kyle Shepherd is licensed to practice in Idaho (license number 78781) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093586158.

Contact Information

Brady Kyle Shepherd,
777 Hospital Way,
Pocatello, ID 83201-5175
(208) 239-1000
Not Available

Map and Direction




Provider's Profile

Full NameBrady Kyle Shepherd
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location777 Hospital Way, Pocatello, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093586158
  • Provider Enumeration Date: 01/09/2024
  • Last Update Date: 03/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6901240241
  • Enrollment ID: I20240214004441

Medical Identifiers

Medical identifiers for Brady Kyle Shepherd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093586158NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 10256717-3102 (Utah)Secondary
367500000XNurse Anesthetist, Certified Registered 78781 (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. Brady Kyle Shepherd allows following entities to bill medicare on his behalf.
Entity NameNorthstar Anesthesia Of Idaho Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912686882
PECOS PAC ID: 6204283856
Enrollment ID: O20231103002037

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. Brady Kyle Shepherd 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
Brady Kyle Shepherd,
3443 W Hamm Ln,
Herriman, UT 84096-2110

Ph: (801) 885-1570		Brady Kyle Shepherd,
777 Hospital Way,
Pocatello, ID 83201-5175

Ph: (208) 239-1000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Pocatello, ID

Mr. Timothy Morgan Naylor, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 285 Vista Dr, Pocatello, ID 83201
Phone: 208-478-1704    
Nicholas Stoddard, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 777 Hospital Way, Pocatello, ID 83201
Phone: 208-232-7760    Fax: 208-232-1950
Mark Alan Pendleton,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 777 Hospital Way, Pocatello, ID 83201
Phone: 082-391-0562    Fax: 208-239-3626
Jamie Leigh Cassinat, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 777 Hospital Way, Pocatello, ID 83201
Phone: 208-209-1000    
Eric Michael Stradley,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 777 Hospital Way, Pocatello, ID 83201
Phone: 208-239-1000    
Richard Aaron Marler, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 333 N 18th Ave, Bldg A, Pocatello, ID 83201
Phone: 208-233-8880    Fax: 208-232-1950
Mr. Kenneth Michael Knapp, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 333 N 18th Ave Ste A, Pocatello, ID 83201
Phone: 208-232-7760    Fax: 208-232-1950

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.