Idaho State University - Medicare Audiologist in Pocatello, ID

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Idaho State University is a medicare enrolled "Audiologist" provider in Pocatello, Idaho. Their current practice location is 650 Memorial Drive, Bldg #68, Pocatello, Idaho. You can reach out to their office (for appointments etc.) via phone at (208) 282-3495.

Idaho State University is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Idaho State University 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 1952474777.

Contact Information

Idaho State University
650 Memorial Drive, Bldg #68,
Pocatello, ID 83201
(208) 282-3495
(208) 282-4571

Map and Direction




Healthcare Provider's Profile

Full NameIdaho State University
TypeFacility
SpecialityAudiologist
Location650 Memorial Drive, Pocatello, Idaho
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952474777
  • Provider Enumeration Date: 11/17/2006
  • Last Update Date: 02/27/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4688683030
  • Enrollment ID: O20060412000292

Medical Identifiers

Medical identifiers for Idaho State University such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952474777NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist (* (Not Available))Secondary
231H00000XAudiologist (* (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. Idaho State University acts as a billing entity for following providers:
Provider NameJeff E Brockett
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1013931450
PECOS PAC ID: 0244249589
Enrollment ID: I20060413000305
Provider NameJennifer E Holst
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1487689683
PECOS PAC ID: 8325057664
Enrollment ID: I20060413000319
Provider NameMichelle M Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922053883
PECOS PAC ID: 4385736420
Enrollment ID: I20070822000355
Provider NameSpencer L Cheshire
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1437320082
PECOS PAC ID: 0547337560
Enrollment ID: I20080917000322
Provider NameKarissa D Miller
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1740436302
PECOS PAC ID: 0446391171
Enrollment ID: I20100104000307
Provider NameChris A Sanford
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1699869354
PECOS PAC ID: 6305973397
Enrollment ID: I20100422000966
Provider NameCindy Seiger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548467509
PECOS PAC ID: 5799933925
Enrollment ID: I20121221000102
Provider NameNancy L Devine
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548482664
PECOS PAC ID: 2264686898
Enrollment ID: I20130207000534
Provider NameMary M Whitaker
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1497782577
PECOS PAC ID: 3678719689
Enrollment ID: I20130417000723
Provider NameJames E Ralphs
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427009398
PECOS PAC ID: 7517991730
Enrollment ID: I20130425000101
Provider NameChristine F Waite
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952733552
PECOS PAC ID: 0446494942
Enrollment ID: I20130924000530
Provider NameDeborah M Vieira
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1447503024
PECOS PAC ID: 3274562210
Enrollment ID: I20131122000896
Provider NameCorrie E Holmes
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1548548589
PECOS PAC ID: 5890913958
Enrollment ID: I20140902002211
Provider NameLisa B Hong
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1295135028
PECOS PAC ID: 8527289701
Enrollment ID: I20141103000616
Provider NameKathleen A Erwin
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1457499113
PECOS PAC ID: 1951461367
Enrollment ID: I20151223001684
Provider NameKylee M Permann
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1003279357
PECOS PAC ID: 4486953049
Enrollment ID: I20160503001327
Provider NameMonica Weston
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1558596080
PECOS PAC ID: 5496042715
Enrollment ID: I20160929001346
Provider NameTyler S Burton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669003695
PECOS PAC ID: 6002243607
Enrollment ID: I20200317001446
Provider NameSandra Nelson Woolstenhulme
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619595071
PECOS PAC ID: 7810313574
Enrollment ID: I20200812003258
Provider NameMichael Clarke
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669838736
PECOS PAC ID: 0941591879
Enrollment ID: I20210202000802
Provider NameKristy D Crownhart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235654955
PECOS PAC ID: 2264771351
Enrollment ID: I20210729002767
Provider NameSeth Hampton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760015366
PECOS PAC ID: 2365846821
Enrollment ID: I20210804004265
Provider NameBrady V Brower
Provider TypePractitioner - Mass Immunization Roster Biller
Provider IdentifiersNPI Number: 1568746782
PECOS PAC ID: 8426451121
Enrollment ID: I20210825001024
Provider NameCurtis J Billings
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1952609174
PECOS PAC ID: 5395139075
Enrollment ID: I20220222002494
Provider NameMary H Rankin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154072205
PECOS PAC ID: 0941695969
Enrollment ID: I20220309002415
Provider NameKelly Rojek
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144847203
PECOS PAC ID: 9436576741
Enrollment ID: I20220414001740
Provider NameAnna Parker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427798602
PECOS PAC ID: 7719360692
Enrollment ID: I20220810003759
Provider NameEric C Victor
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467598581
PECOS PAC ID: 6103917539
Enrollment ID: I20220910000531
Provider NameShauna L Smith
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1386715696
PECOS PAC ID: 1254716756
Enrollment ID: I20220920002119
Provider NameJenna Nicole Raff
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1477283208
PECOS PAC ID: 8820479405
Enrollment ID: I20231024000738
Provider NameQuinlin T Card
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1063895126
PECOS PAC ID: 9133420201
Enrollment ID: I20231212003432
Provider NameJake R. Arbon
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1962152587
PECOS PAC ID: 9335501550
Enrollment ID: I20240620003108
Provider NameDaisha C. Orchard
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1164059515
PECOS PAC ID: 9830594928
Enrollment ID: I20240705002210
Provider NameDevin James Bean
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881428688
PECOS PAC ID: 8921549940
Enrollment ID: I20240918001131
Provider NameIvanna Tali Rotman
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1447097456
PECOS PAC ID: 4486187119
Enrollment ID: I20241101001835
Provider NameBraun Inslee
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1013564103
PECOS PAC ID: 9537699566
Enrollment ID: I20250206000966
Provider NameRyan Kelley
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1922685239
PECOS PAC ID: 4385028877
Enrollment ID: I20250501002013
Provider NameAngela M Abbott
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1275170383
PECOS PAC ID: 8820516933
Enrollment ID: I20250513000997
Provider NamePatrick Jon Bartos
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1881972610
PECOS PAC ID: 8022329911
Enrollment ID: I20250610002320

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. Idaho State University 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
Idaho State University
921 S 8th Ave Stop 8116,
Pocatello, ID 83209-0002

Ph: (208) 282-3495		Idaho State University
650 Memorial Drive, Bldg #68,
Pocatello, ID 83201

Ph: (208) 282-3495

Reviews and Comments


Audiologist in Pocatello, ID

Jeff E Brockett, ED.D
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 650 Memorial Dr Bldg 68, Pocatello, ID 83209
Phone: 208-282-2556    
Dr. Makenzi Gwinn, AU.D.
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 777 Hospital Way Ste 115, Pocatello, ID 83201
Phone: 208-239-1960    Fax: 208-478-0076
Mr. Edward Gregory Smith, M.S., CCC-A
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 921 S 8th Ave Stop 8116, Pocatello, ID 83209
Phone: 208-282-3495    Fax: 208-282-4571
Dr. Jennifer Holst, AU.D.
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: Idaho State University, 921 S. 8th Stop 8116, Pocatello, ID 83209
Phone: 208-282-3747    
Dr. Mary M. Whitaker, AU.D.
Audiologist
Medicare: Medicare Enrolled
Practice Location: 650 Memorial Drive, Bldg 68, Pocatello, ID 83209
Phone: 208-282-2190    
Lindsay Anne Tucker, AU.D.
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 650 Memorial Dr, Pocatello, ID 83209
Phone: 208-233-4339    
Dr. Alisa Vineyard, AU.D.
Audiologist
Medicare: Medicare Enrolled
Practice Location: 2350 Via Caporatti Dr, Suite B, Pocatello, ID 83201
Phone: 208-237-5322    

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.