Stanford Benjamin Gammon, PA - Medicare Physician Assistant in Idaho Falls, ID

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Stanford Benjamin Gammon, PA is a medicare enrolled "Physician Assistant - Surgical" in Idaho Falls, Idaho. He graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Idaho Physician Services Inc and his current practice location is 3345 Potomac Way, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 552-7572.

Stanford Benjamin Gammon is licensed to practice in Idaho (license number PA-1328) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477992592.

Contact Information

Stanford Benjamin Gammon, PA
3345 Potomac Way,
Idaho Falls, ID 83404-4978
(208) 552-7572
(208) 552-7312

Map and Direction




Provider's Profile

Full NameStanford Benjamin Gammon
GenderMale
SpecialityPhysician Assistant
Experience13 Years
Location3345 Potomac Way, Idaho Falls, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stanford Benjamin Gammon graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1477992592
  • Provider Enumeration Date: 06/21/2013
  • Last Update Date: 07/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4981846011
  • Enrollment ID: I20160301001009

Medical Identifiers

Medical identifiers for Stanford Benjamin Gammon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477992592NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical PA-1328 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Eastern Idaho Regional Medical CenterIdaho falls, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Idaho Physician Services Inc216343094318

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. Stanford Benjamin Gammon allows following entities to bill medicare on his 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 NameIdaho Physician Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902841893
PECOS PAC ID: 2163430943
Enrollment ID: O20070208000680
Entity NameCommunity Care West Side LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295009785
PECOS PAC ID: 3678738218
Enrollment ID: O20120703000554

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. Stanford Benjamin Gammon 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
Stanford Benjamin Gammon, PA
Po Box 277381,
Atlanta, GA 30384-7381

Ph: Not Available		Stanford Benjamin Gammon, PA
3345 Potomac Way,
Idaho Falls, ID 83404-4978

Ph: (208) 552-7572

Reviews and Comments


Physician Assistant Nurses in Idaho Falls, ID

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Johnathon Chase Wilde, PA-C
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Practice Location: 3820 Crestwood Ln, Idaho Falls, ID 83404
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David Landen Day,
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Practice Location: 2985 Cortez Ave, Idaho Falls, ID 83404
Phone: 208-523-3373    Fax: 208-523-8746

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.