John J Mytych, DPM in Coeur D Alene, ID - Medicare Podiatry Provider

John J Mytych, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Coeur D Alene, Idaho. He graduated from medical school in 2000 and has 25 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Kootenai Health Inc and his current practice location is 2120 W Ironwood Center Dr, Coeur D Alene, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 625-6944.

John J Mytych is licensed to practice in Idaho (license number 3271756) 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 1457452476.

Contact Information

	John J Mytych, DPM
	2120 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639
	(208) 625-6944
	(208) 625-6945

Map and Direction

Healthcare Provider's Profile

Full Name	John J Mytych
Gender	Male
Speciality	Podiatry
Experience	25 Years
Location	2120 W Ironwood Center Dr, Coeur D Alene, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

John J Mytych graduated from medical school in 2000

NPI Data:

NPI Number: 1457452476
Provider Enumeration Date: 09/25/2006
Last Update Date: 06/17/2025

Medicare PECOS Information:

PECOS PAC ID: 8123929296
Enrollment ID: I20250530000532

Medical Identifiers

Medical identifiers for John J Mytych such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457452476	NPI	-	NPPES
Q00214425	Other	UT	RR MEDICARE
U00011270	Other	UT	MEDICARE PTAN
10140276-0501	Other	UT	MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	10140276-0501 (Utah)	Secondary
213ES0103X	Podiatrist - Foot & Ankle Surgery	3271756 (Idaho)	Primary
213ES0103X	Podiatrist - Foot & Ankle Surgery	016005082 (Illinois)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kootenai Health	Coeur d'alene, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kootenai Health Inc	1355792276	382

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. John J Mytych allows following entities to bill medicare on his behalf.

Provider Name	Kootenai Health Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252

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. John J Mytych 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
John J Mytych, DPM 280 S Main St, Bountiful, UT 84010-6236 Ph: (801) 505-0821	John J Mytych, DPM 2120 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 Ph: (208) 625-6944

Reviews and Comments

Podiatrist in Coeur D Alene, ID

Northwest Physicians And Surgeons Podiatrist Medicare: Medicare Enrolled Practice Location: 850 W Ironwood Dr Ste 301, Coeur D Alene, ID 83814 Phone: 208-667-9762 Fax: 208-765-1041
Coeur D' Alene Foot & Ankle Clinic Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 101 W Ironwood Dr, Suite 131, Coeur D Alene, ID 83814 Phone: 208-666-0605 Fax: 208-666-0916
Dr. Michael J Drager, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 850 W Ironwood Dr, Ste 301, Coeur D Alene, ID 83814 Phone: 208-667-9762 Fax: 208-765-1041
Christopher Butler Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 2221 N Ironwood Center Dr, Coeur D Alene, ID 83814 Phone: 208-667-3585 Fax: 866-433-2607
Mr. Ryan Kenneth Averett, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2221 N Ironwood Center Dr, Coeur D Alene, ID 83814 Phone: 208-667-3585 Fax: 855-864-8364
Christopher Butler, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2221 N Ironwood Center Dr, Coeur D Alene, ID 83814 Phone: 208-667-3585 Fax: 866-433-2607

John J Mytych, DPM - Medicare Podiatrist in Coeur D Alene, ID