Dr Thomas George Jr, DNP, CRNP, FNP-C - Medicare Nurse Practitioner in Shelley, ID

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Dr Thomas George Jr, DNP, CRNP, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Shelley, Idaho. His current practice location is 555 W Oak St Ste 2, Shelley, Idaho. You can reach out to his office (for appointments etc.) via phone at (240) 308-1771.

Dr Thomas George Jr is licensed to practice in Maryland (license number R216085) 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 1417338930.

Contact Information

Dr Thomas George Jr, DNP, CRNP, FNP-C
555 W Oak St Ste 2,
Shelley, ID 83274-1161
(240) 308-1771
Not Available

Map and Direction




Provider's Profile

Full NameDr Thomas George Jr
GenderMale
SpecialityNurse Practitioner - Family
Location555 W Oak St Ste 2, Shelley, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417338930
  • Provider Enumeration Date: 06/10/2015
  • Last Update Date: 06/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7517299720
  • Enrollment ID: I20191021002145

Medical Identifiers

Medical identifiers for Dr Thomas George Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417338930NPI-NPPES
926580503MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0400XRegistered Nurse - Case Management R216085 (Maryland)Secondary
363LF0000XNurse Practitioner - Family R216085 (Maryland)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. Dr Thomas George Jr allows following entities to bill medicare on his behalf.
Entity NameWellspring Family Medicine Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194744359
PECOS PAC ID: 7012986763
Enrollment ID: O20040929000439
Entity NamePrivia Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20140522000040
Entity NamePrivia Care Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164874426
PECOS PAC ID: 3274801139
Enrollment ID: O20170619000055

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 Thomas George Jr 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 Thomas George Jr, DNP, CRNP, FNP-C
555 W Oak St Ste 2,
Shelley, ID 83274-1161

Ph: (240) 308-1771		Dr Thomas George Jr, DNP, CRNP, FNP-C
555 W Oak St Ste 2,
Shelley, ID 83274-1161

Ph: (240) 308-1771

Reviews and Comments


Nurse Practitioner Nurses in Shelley, ID

Jace Keller White,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 251 Brent Way, Shelley, ID 83274
Phone: 208-932-5106    

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.