Dr Jesse Tellez Hernandez, NP-C - Medicare Nurse Practitioner in Fort Hall, ID

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Dr Jesse Tellez Hernandez, NP-C is a medicare enrolled "Nurse Practitioner" in Fort Hall, Idaho. His current practice location is Building 70 Navajo Drive, Fort Hall, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 478-3987.

Dr Jesse Tellez Hernandez is licensed to practice in Idaho (license number NP-1663A) 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 1184099558.

Contact Information

Dr Jesse Tellez Hernandez, NP-C
Building 70 Navajo Drive,
Fort Hall, ID 83203
(208) 478-3987
(208) 478-4040

Map and Direction




Provider's Profile

Full NameDr Jesse Tellez Hernandez
GenderMale
SpecialityNurse Practitioner
LocationBuilding 70 Navajo Drive, Fort Hall, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184099558
  • Provider Enumeration Date: 12/10/2015
  • Last Update Date: 03/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5395080543
  • Enrollment ID: I20181217003059

Medical Identifiers

Medical identifiers for Dr Jesse Tellez Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184099558NPI-NPPES
NP-1663AOtherIDPROFESSIONAL LICENSE
11948571-4405OtherUTPROFESSIONAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner NP-1663A (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. Dr Jesse Tellez Hernandez 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 Jesse Tellez Hernandez, NP-C
Po Box 4414,
Pocatello, ID 83205-4414

Ph: (208) 219-9927		Dr Jesse Tellez Hernandez, NP-C
Building 70 Navajo Drive,
Fort Hall, ID 83203

Ph: (208) 478-3987

Reviews and Comments


Nurse Practitioner Nurses in Fort Hall, ID

Georgina Rafielita Marshall, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 33 N. Mission Rd, Fort Hall, ID 83203
Phone: 208-238-5427    Fax: 208-238-5465
Ms. Kathleen Bridget Marshall, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 717 Mission Rd., Fort Hall, ID 83203
Phone: 208-238-5435    

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.