Braden Jenkins, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Ammon, Idaho. His current practice location is
2677 E 17th St Ste 200, Ammon, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 881-2100.
Braden Jenkins is licensed to practice in Utah (license number NA) 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 1609337682.
Healthcare Provider's Profile
| Full Name | Braden Jenkins |
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| Gender | Male |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 2677 E 17th St Ste 200, Ammon, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1609337682
- Provider Enumeration Date: 03/30/2019
- Last Update Date: 06/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 7719363266
- Enrollment ID: I20221108001753
Medical Identifiers
Medical identifiers for Braden Jenkins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609337682 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | NA (Utah) | Secondary |
| 213ES0131X | Podiatrist - Foot Surgery | NA (Utah) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | NA (Utah) | 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. Braden Jenkins allows following entities to bill medicare on his behalf.
| Provider Name | Ridge Medical Group Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1922736842
PECOS PAC ID: 4789051566
Enrollment ID: O20221108001651 |
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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. Braden Jenkins 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 Address | Practice Location Address |
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Braden Jenkins, DPM
2597 Mesa St,
Idaho Falls, ID 83401-2335
Ph: (208) 881-2100 | Braden Jenkins, DPM
2677 E 17th St Ste 200,
Ammon, ID 83406-6612
Ph: (208) 881-2100 |
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