Dr Ralene Wiberg, MD is a medicare enrolled "Family Medicine" in Nampa, Idaho. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Hawaii Permanente Medical Group Inc and her current practice location is
211 16th Ave N, Nampa, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 461-7149.
Dr Ralene Wiberg is licensed to practice in Idaho (license number M-12117) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912956806.
Provider's Profile
| Full Name | Dr Ralene Wiberg |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 14 Years |
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| Location | 211 16th Ave N, Nampa, Idaho |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Ralene Wiberg graduated from nursing school in 2010
NPI Data:
- NPI Number: 1912956806
- Provider Enumeration Date: 05/08/2006
- Last Update Date: 08/01/2013
Medicare PECOS Information:
- PECOS PAC ID: 8820224207
- Enrollment ID: I20221020003269
Medical Identifiers
Medical identifiers for Dr Ralene Wiberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912956806 | NPI | - | NPPES |
| NP464A | Other | ID | NP LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | NP464A (Idaho) | Secondary |
| 207Q00000X | Family Medicine | 0101252362 (Virginia) | Secondary |
| 207Q00000X | Family Medicine | M-12117 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Hawaii Permanente Medical Group Inc | 7618880667 | 541 |
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 Ralene Wiberg allows following entities to bill medicare on her behalf.
| Entity Name | Hawaii Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710945969
PECOS PAC ID: 7618880667
Enrollment ID: O20031106000625 |
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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 Ralene Wiberg 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 |
|---|
Dr Ralene Wiberg, MD
211 16th Ave N, Po Box 9,
Nampa, ID 83687-4058
Ph: (208) 461-7149 | Dr Ralene Wiberg, MD
211 16th Ave N,
Nampa, ID 83687-4058
Ph: (208) 461-7149 |
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