Brett W Zundel, PA-C is a medicare enrolled "Physician Assistant - Medical" in Terreton, Idaho. His current practice location is
1286 E 1500 N, Terreton, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 663-4628.
Brett W Zundel is licensed to practice in Idaho (license number PA197) 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 1730222365.
Provider's Profile
| Full Name | Brett W Zundel |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 1286 E 1500 N, Terreton, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1730222365
- Provider Enumeration Date: 02/14/2007
- Last Update Date: 05/04/2016
Medicare PECOS Information:
- PECOS PAC ID: 1254420441
- Enrollment ID: I20071211000672
Medical Identifiers
Medical identifiers for Brett W Zundel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730222365 | NPI | - | NPPES |
| 0007309726 | Other | ID | AETNA |
| 000010006458 | Other | ID | BLUE SHIELD |
| PAYL7 | Other | ID | BLUE CROSS |
| 805130800 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | PA197 (Idaho) | Primary |
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. Brett W Zundel 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 |
|---|
Brett W Zundel, PA-C
21 Winn Dr, P.o. Box 69,
Rexburg, ID 83440-5277
Ph: (208) 663-4628 | Brett W Zundel, PA-C
1286 E 1500 N,
Terreton, ID 83450
Ph: (208) 663-4628 |
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