Orthopedic Surgery And Sports - Medicare in Coeur D Alene, ID

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Orthopedic Surgery And Sports is a medicare enrolled "Orthopaedic Surgery" provider in Coeur D Alene, Idaho. Their current practice location is 850 W Ironwood Dr Ste 202, Coeur D Alene, Idaho. You can reach out to their office (for appointments etc.) via phone at (208) 664-2175.

Orthopedic Surgery And Sports is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Orthopedic Surgery And Sports is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1083729438.

Contact Information

Orthopedic Surgery And Sports
850 W Ironwood Dr Ste 202,
Coeur D Alene, ID 83814-4903
(208) 664-2175
(208) 664-1226

Map and Direction




Healthcare Provider's Profile

Full NameOrthopedic Surgery And Sports
TypeFacility
SpecialityOrthopaedic Surgery
Location850 W Ironwood Dr Ste 202, Coeur D Alene, Idaho
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083729438
  • Provider Enumeration Date: 08/19/2006
  • Last Update Date: 05/20/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3375519168
  • Enrollment ID: O20040902001125

Medical Identifiers

Medical identifiers for Orthopedic Surgery And Sports such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083729438NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
207X00000XOrthopaedic Surgery (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Orthopedic Surgery And Sports acts as a billing entity for following providers:
Provider NameDouglas P Mcinnis
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1326151150
PECOS PAC ID: 1355331356
Enrollment ID: I20040513000047
Provider NameJason W Bruns
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376580290
PECOS PAC ID: 3375591589
Enrollment ID: I20050121000286
Provider NameJonathan S King
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1326034430
PECOS PAC ID: 6204800261
Enrollment ID: I20050912001254
Provider NameWilliam F Sims
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1720191554
PECOS PAC ID: 9638234362
Enrollment ID: I20090212000696
Provider NameRoger C Dunteman
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1740390137
PECOS PAC ID: 8527123777
Enrollment ID: I20090223000269
Provider NameTyler M Baxter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568599215
PECOS PAC ID: 5698828390
Enrollment ID: I20090728000645
Provider NameBrian Michael Scherr
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750342143
PECOS PAC ID: 2567498926
Enrollment ID: I20091125000259
Provider NameScott Andrew Brown
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1063635027
PECOS PAC ID: 2769535483
Enrollment ID: I20101210000086
Provider NameChad Bailey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487756227
PECOS PAC ID: 2264439215
Enrollment ID: I20110809000263
Provider NameGregory R Keese
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1316137862
PECOS PAC ID: 6103996236
Enrollment ID: I20121119000172
Provider NameDerrick J Webb
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114378957
PECOS PAC ID: 0648568733
Enrollment ID: I20161005000674
Provider NameJustin Luke Smith
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1396162178
PECOS PAC ID: 2668763368
Enrollment ID: I20200807002865
Provider NameMegan Christine Balogh
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1134711047
PECOS PAC ID: 8527474006
Enrollment ID: I20210308001992
Provider NameKelly Ambrosch
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790322436
PECOS PAC ID: 5395179527
Enrollment ID: I20211015002041
Provider NameMark Stevens
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003302688
PECOS PAC ID: 2163775941
Enrollment ID: I20220530000230
Provider NameJoshua George Stibb
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689164402
PECOS PAC ID: 0244613206
Enrollment ID: I20220824001418
Provider NameBrianna Leigh Hettrich Downey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578291993
PECOS PAC ID: 8820473432
Enrollment ID: I20220919001351
Provider NameJorge Luis Santiago
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1114629318
PECOS PAC ID: 0547625758
Enrollment ID: I20230421002169
Provider NameDavid L Parker
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1639600174
PECOS PAC ID: 8022394311
Enrollment ID: I20230731003378
Provider NameKathryn Clark Demass
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1497097836
PECOS PAC ID: 6002259405
Enrollment ID: I20240213000243
Provider NameTaylor Lee Kroll
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1154167443
PECOS PAC ID: 7719423110
Enrollment ID: I20240722002784
Provider NameAnthony Mcfadden
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992535264
PECOS PAC ID: 3375083397
Enrollment ID: I20240913001982
Provider NameMadison Taylor Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417778291
PECOS PAC ID: 1557899358
Enrollment ID: I20250107003174
Provider NameJacquelynne Rose Carlson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1982338885
PECOS PAC ID: 5698141075
Enrollment ID: I20250314000321

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. Orthopedic Surgery And Sports 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
Orthopedic Surgery And Sports
850 W Ironwood Dr, Suite 202,
Coeur D Alene, ID 83814-4903

Ph: (208) 664-2175		Orthopedic Surgery And Sports
850 W Ironwood Dr Ste 202,
Coeur D Alene, ID 83814-4903

Ph: (208) 664-2175

Reviews and Comments



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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.

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