Benewah Community Hospital - Medicare Dental Clinic in St Maries, ID

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Benewah Community Hospital is a medicare enrolled dental clinic (General Acute Care Hospital - Critical Access) in St Maries, Idaho. The current practice location for Benewah Community Hospital is 229 S 7th St, St Maries, Idaho. For appointments, you can reach them via phone at (208) 245-5551. The mailing address for Benewah Community Hospital is 229 S 7th St, St Maries, Idaho and phone number is (208) 245-5551.

Benewah Community Hospital is licensed to practice in Idaho (license number 27). The clinic also participates in the medicare program and its NPI number is 1548320435. 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) 245-5551.

Contact Information

Benewah Community Hospital
229 S 7th St
St Maries
ID 83861-1803
(208) 245-5551
(208) 245-5246

Map and Direction


Dental Care Clinic Profile

Full NameBenewah Community Hospital
SpecialityGeneral Acute Care Hospital
Location229 S 7th St, St Maries, Idaho
Authorized Official Name and PositionLori L Minier (CFO)
Authorized Official Contact2082455551
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Benewah Community Hospital
229 S 7th St
St Maries
ID 83861-1803

Ph: (208) 245-5551		Benewah Community Hospital
229 S 7th St
St Maries
ID 83861-1803

Ph: (208) 245-5551

NPI Details:

NPI Number1548320435
Provider Enumeration Date12/11/2006
Last Update Date08/21/2024

Medicare PECOS Information:

Medicare PECOS PAC ID1850200700
Medicare Enrollment IDO20061104000136

Medical Identifiers

Medical identifiers for Benewah Community Hospital such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548320435NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery (* (Not Available))Secondary
207P00000XEmergency Medicine (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
207X00000XOrthopaedic Surgery (* (Not Available))Secondary
207XX0005XOrthopaedic Surgery - Sports Medicine (* (Not Available))Secondary
2085R0202XRadiology - Diagnostic Radiology (* (Not Available))Secondary
208600000XSurgery (* (Not Available))Secondary
208M00000XHospitalist (* (Not Available))Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery (* (Not Available))Secondary
225100000XPhysical Therapist (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Secondary
282NC0060XGeneral Acute Care Hospital - Critical Access 27 (Idaho)Primary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
367500000XNurse Anesthetist, Certified Registered (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Benewah Community Hospital acts as a billing entity for following providers:
Provider NameDaniel Cooper Wester
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407965544
PECOS PAC ID: 6103718135
Enrollment ID: I20040406000608
Provider NameAlbert J Martinez
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1114929833
PECOS PAC ID: 8729970942
Enrollment ID: I20040515000426
Provider NameDavid E Moody
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1902808793
PECOS PAC ID: 1951392604
Enrollment ID: I20040520001259
Provider NameCasey J Fatz
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1306847488
PECOS PAC ID: 6901887678
Enrollment ID: I20040527001066
Provider NameTaylor F Reichel
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1841292620
PECOS PAC ID: 9830177427
Enrollment ID: I20040709001253
Provider NameRandon Lee Opp
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1194727800
PECOS PAC ID: 6608766712
Enrollment ID: I20050103000646
Provider NameBradley John Capawana
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1447257076
PECOS PAC ID: 7810976388
Enrollment ID: I20050411000883
Provider NameBrian Joseph Mcnamee
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1003818717
PECOS PAC ID: 5294762415
Enrollment ID: I20050720000079
Provider NameLori T Rembe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275639577
PECOS PAC ID: 2264402122
Enrollment ID: I20060110000872
Provider NameKeith P Mcklendin
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1437139938
PECOS PAC ID: 0840245239
Enrollment ID: I20060809000521
Provider NameWendi Rene Boyer
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1538101050
PECOS PAC ID: 9638140783
Enrollment ID: I20060830000452
Provider NameCasey Joseph Johnson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1518917574
PECOS PAC ID: 7618877879
Enrollment ID: I20061116000387
Provider NameNicole Shiree Burbank
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1982621967
PECOS PAC ID: 5890682504
Enrollment ID: I20061121000593
Provider NameGary B Glenn
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1962579797
PECOS PAC ID: 4183704091
Enrollment ID: I20080104000375
Provider NameJason D Marshall
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1912120551
PECOS PAC ID: 5991770679
Enrollment ID: I20080109000450
Provider NameTerry E Davenport
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710974191
PECOS PAC ID: 5092857029
Enrollment ID: I20100128000563
Provider NameMichael Lee Ettner
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1629061940
PECOS PAC ID: 1557496080
Enrollment ID: I20100322000917
Provider NameRobert C Seeley
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1407803612
PECOS PAC ID: 4880645001
Enrollment ID: I20100628000126
Provider NameSteve Kimm
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1851353429
PECOS PAC ID: 2264624386
Enrollment ID: I20101007001122
Provider NameWilliam Scott Spence
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255351458
PECOS PAC ID: 7719966811
Enrollment ID: I20120612000136
Provider NameBryan Douglas Berkey
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1114917606
PECOS PAC ID: 5890859227
Enrollment ID: I20120723000767
Provider NameWilliam W Wheeler
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1205810025
PECOS PAC ID: 2668386228
Enrollment ID: I20120813000625
Provider NameTrenton J Evans
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1922011550
PECOS PAC ID: 5991867459
Enrollment ID: I20130218000358
Provider NameDevin Traer Caywood
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1962684571
PECOS PAC ID: 9032374400
Enrollment ID: I20130626000686
Provider NameMichael L Larsen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1902005663
PECOS PAC ID: 2769559228
Enrollment ID: I20130723001013
Provider NameZachary S Slater
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1063702769
PECOS PAC ID: 5193902153
Enrollment ID: I20130910000258
Provider NameLuke Jonathan Grauke
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1972751709
PECOS PAC ID: 9638333933
Enrollment ID: I20130920000188
Provider NameKevin M Knopp
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1114193489
PECOS PAC ID: 2860564978
Enrollment ID: I20131001000626
Provider NameMarcus E Harrell
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1407959380
PECOS PAC ID: 8820197783
Enrollment ID: I20140711002268
Provider NameRichard Gary Watts
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1023113545
PECOS PAC ID: 4789611732
Enrollment ID: I20150408002553
Provider NameTravis Aaron Newby
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1669727665
PECOS PAC ID: 2961625785
Enrollment ID: I20150609000576
Provider NameEdward Gregory Moellmer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942566195
PECOS PAC ID: 4486978079
Enrollment ID: I20160822000950
Provider NameTim John Ochoa
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609164417
PECOS PAC ID: 6608192158
Enrollment ID: I20160929002359
Provider NameCraig A Burns
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1225472012
PECOS PAC ID: 5294055638
Enrollment ID: I20170712002265
Provider NamePhilip John Dougherty
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1750647913
PECOS PAC ID: 0446561716
Enrollment ID: I20180529002850
Provider NameJoshua R Smith
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1497011597
PECOS PAC ID: 9234368291
Enrollment ID: I20180702001691
Provider NameFrederick Paul Ragan
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1205092525
PECOS PAC ID: 3779651922
Enrollment ID: I20181214000304
Provider NameKendall A Gunderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356992309
PECOS PAC ID: 1850725748
Enrollment ID: I20191231001716
Provider NameJohn Anthony Schirmer
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1023286424
PECOS PAC ID: 8921361874
Enrollment ID: I20200103001982
Provider NameMatthew S Lidstrom
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1447512348
PECOS PAC ID: 3577871904
Enrollment ID: I20200401002280
Provider NameDerek A Khorsand
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1598176448
PECOS PAC ID: 5092934398
Enrollment ID: I20200522002379
Provider NamePatrick C Marvil
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235629304
PECOS PAC ID: 7517369556
Enrollment ID: I20210816003765
Provider NameJacob Pickering
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1912240128
PECOS PAC ID: 5193084432
Enrollment ID: I20211016000019
Provider NameGregg W Schellack
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1205887544
PECOS PAC ID: 7315127180
Enrollment ID: I20211123002222
Provider NameMazen Zawaideh
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1356740930
PECOS PAC ID: 8820300775
Enrollment ID: I20211202000824
Provider NameKaley Marie Wiet
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1568053155
PECOS PAC ID: 8022423417
Enrollment ID: I20220831000617
Provider NameShahla F Syed
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1730314030
PECOS PAC ID: 9032333836
Enrollment ID: I20230125001932
Provider NameJon Wesley Thompson
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1659552347
PECOS PAC ID: 5597823195
Enrollment ID: I20230302002480
Provider NameAaron Vincent Vizcarra
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1306253893
PECOS PAC ID: 1254557200
Enrollment ID: I20230915000628
Provider NameJason Baltar Rodulfa
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1891102620
PECOS PAC ID: 1456694025
Enrollment ID: I20230919003407
Provider NameKara Leigh Seigley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801672480
PECOS PAC ID: 4082060686
Enrollment ID: I20231101002857
Provider NameCoralyn Marie Furr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770730392
PECOS PAC ID: 4486711082
Enrollment ID: I20240423001848

Reviews and Comments


Dental Clinics in St Maries, ID


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.