Leathie Bickmore, APRN CNP - Medicare Nurse Practitioner in Pocatello, ID

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Leathie Bickmore, APRN CNP is a medicare enrolled "Nurse Practitioner - Family" in Pocatello, Idaho. Her current practice location is 495 Yellowstone Ave, Pocatello, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 425-1620.

Leathie Bickmore is licensed to practice in Idaho (license number 61350) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609640333.

Contact Information

Leathie Bickmore, APRN CNP
495 Yellowstone Ave,
Pocatello, ID 83201-4531
(208) 425-1620
(208) 232-5445

Map and Direction




Provider's Profile

Full NameLeathie Bickmore
GenderFemale
SpecialityNurse Practitioner - Family
Location495 Yellowstone Ave, Pocatello, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609640333
  • Provider Enumeration Date: 11/13/2023
  • Last Update Date: 11/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9032554175
  • Enrollment ID: I20240228004836

Medical Identifiers

Medical identifiers for Leathie Bickmore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609640333NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 61350 (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. Leathie Bickmore allows following entities to bill medicare on her behalf.
Entity NameMountain View Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669462362
PECOS PAC ID: 4486562774
Enrollment ID: O20040527001343
Entity NameCommunity Care West Side Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295009785
PECOS PAC ID: 3678738218
Enrollment ID: O20120703000554
Entity NameCc Pocatello Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538517156
PECOS PAC ID: 8527353176
Enrollment ID: O20160822003018
Entity NameMvh Pic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972035772
PECOS PAC ID: 6709156904
Enrollment ID: O20170720002408

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. Leathie Bickmore 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
Leathie Bickmore, APRN CNP
495 Yellowstone Ave,
Pocatello, ID 83201-4531

Ph: (208) 425-1620		Leathie Bickmore, APRN CNP
495 Yellowstone Ave,
Pocatello, ID 83201-4531

Ph: (208) 425-1620

Reviews and Comments


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Jason Montgomery, NP-C
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Phone: 208-239-1000    

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.