Madison Clinic Physicians - Medicare Primary Care in Rexburg, ID

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Madison Clinic Physicians is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Rexburg, Idaho. The current practice location for Madison Clinic Physicians is 450 E Main St, Rexburg, Idaho. For appointments, you can reach them via phone at (208) 359-6419. The mailing address for Madison Clinic Physicians is Po Box 130, Rexburg, Idaho and phone number is (208) 359-6419.

Madison Clinic Physicians is licensed to practice in Idaho (license number 40). The clinic also participates in the medicare program and its NPI number is 1346643038. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (208) 359-6419.

Contact Information

Madison Clinic Physicians
450 E Main St
Rexburg
ID 83440-2048
(208) 359-6419
(208) 359-6915

Map and Direction


Primary Care Clinic Profile

Full NameMadison Clinic Physicians
SpecialityClinic/Center
Location450 E Main St, Rexburg, Idaho
Authorized Official Name and PositionRachel Gonzales (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact2083596900
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Madison Clinic Physicians
Po Box 130
Rexburg
ID 83440-0130

Ph: (208) 359-6419		Madison Clinic Physicians
450 E Main St
Rexburg
ID 83440-2048

Ph: (208) 359-6419

NPI Details:

NPI Number1346643038
Provider Enumeration Date10/08/2014
Last Update Date10/23/2023

Medicare PECOS Information:

Medicare PECOS PAC ID4183949522
Medicare Enrollment IDO20150206000933

Medical Identifiers

Medical identifiers for Madison Clinic Physicians such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346643038NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care 40 (Idaho)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Madison Clinic Physicians acts as a billing entity for following providers:
Provider NameJoseph M Anderson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1326025396
PECOS PAC ID: 5395643340
Enrollment ID: I20040113000239
Provider NameRichard J Hammond
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1558306589
PECOS PAC ID: 7113819756
Enrollment ID: I20040327000260
Provider NameBrian W Fortuin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740221191
PECOS PAC ID: 5496647034
Enrollment ID: I20040331000674
Provider NameCorey T Rammell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013008697
PECOS PAC ID: 4789673740
Enrollment ID: I20040506001181
Provider NameCharles J Zollinger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629182282
PECOS PAC ID: 4880683853
Enrollment ID: I20040506001245
Provider NameMichael Packer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659454734
PECOS PAC ID: 9436142221
Enrollment ID: I20040506001435
Provider NameJennifer B Hale
Provider TypePractitioner - Sleep Medicine
Provider IdentifiersNPI Number: 1831143338
PECOS PAC ID: 8123079506
Enrollment ID: I20050202000838
Provider NameEdwin G Wells
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1639104847
PECOS PAC ID: 1658370036
Enrollment ID: I20061212000594
Provider NameSteven H Lofgran
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154524734
PECOS PAC ID: 2860575180
Enrollment ID: I20080212000510
Provider NameJustin J Thompson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1346429552
PECOS PAC ID: 0446338339
Enrollment ID: I20080616000228
Provider NameJacob K Curtis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770684003
PECOS PAC ID: 4981709086
Enrollment ID: I20080725000228
Provider NameMartin A Mangan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972709103
PECOS PAC ID: 6709937758
Enrollment ID: I20090702000185
Provider NameJack O Clark
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902992837
PECOS PAC ID: 2264564491
Enrollment ID: I20100722000929
Provider NameNathan Hancock
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1326209537
PECOS PAC ID: 0244417293
Enrollment ID: I20111205000495
Provider NameJason E Hymas
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1518196021
PECOS PAC ID: 8729244504
Enrollment ID: I20120723000812
Provider NameJerry B Smedley
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1215165469
PECOS PAC ID: 0840446027
Enrollment ID: I20120802000627
Provider NamePatrick V Snarr
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386964146
PECOS PAC ID: 8628202819
Enrollment ID: I20131001000100
Provider NameRodney G Jay
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1225201148
PECOS PAC ID: 0244400935
Enrollment ID: I20140827002451
Provider NameBryce Campbell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023417037
PECOS PAC ID: 4880919190
Enrollment ID: I20150209001124
Provider NameGinger A Jensen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174895353
PECOS PAC ID: 2365760600
Enrollment ID: I20150416000550
Provider NameMichael A Anderson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1194019406
PECOS PAC ID: 6002049236
Enrollment ID: I20151231001835
Provider NameBenjamin David Gold
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1720281280
PECOS PAC ID: 2365506581
Enrollment ID: I20160505000835
Provider NameTroy O Hanson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215471065
PECOS PAC ID: 6305127192
Enrollment ID: I20170110002939
Provider NameShiven B Patel
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1023276490
PECOS PAC ID: 7012185085
Enrollment ID: I20170718003855
Provider NameLesley D Goulding
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043730302
PECOS PAC ID: 8820361033
Enrollment ID: I20170911002328
Provider NameJustin Shippen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871941724
PECOS PAC ID: 5698068427
Enrollment ID: I20190924000013
Provider NameLesli Anne Blanchard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255776118
PECOS PAC ID: 0840536355
Enrollment ID: I20191219001727
Provider NameDawn R Wanfalt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134325764
PECOS PAC ID: 9931290194
Enrollment ID: I20191227000926
Provider NameJacob D Jensen
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1215292669
PECOS PAC ID: 6406177294
Enrollment ID: I20200117001750
Provider NameAnalee S Fish
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407405111
PECOS PAC ID: 0143657841
Enrollment ID: I20200302001391
Provider NameRussell H Mcune
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1265468169
PECOS PAC ID: 8224130497
Enrollment ID: I20201027001229
Provider NameKarissa A Thueson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396352142
PECOS PAC ID: 2769893809
Enrollment ID: I20201123000489
Provider NameStephen M Jensen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821351800
PECOS PAC ID: 9739492083
Enrollment ID: I20211112001684

Reviews and Comments


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Phone: 208-356-5401    Fax: 208-356-3111
Grand Peaks Medical
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Practice Location: 72 S 1st E Ste 101, Rexburg, ID 83440
Phone: 208-356-4900    Fax: 208-356-3724
Madison Memorial Rexburg Medical Clinic
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Teton Medical Group Pllc
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Seasons Medical, Pllc
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Medicare: Medicare Enrolled
Practice Location: 37 S 2nd E, Rexburg, ID 83440
Phone: 208-356-0234    Fax: 208-656-0365

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.