Ovum Medical, Llc is a medicare enrolled "Obstetrics & Gynecology - Complex Family Planning" provider in Sagle, Idaho. Their current practice location is
929 Irish Rd, Sagle, Idaho. You can reach out to their office (for appointments etc.) via phone at
(208) 217-1102.
Ovum Medical, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Ovum Medical, Llc
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 1205536703.
Healthcare Provider's Profile
| Full Name | Ovum Medical, Llc |
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| Type | Facility |
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| Speciality | Obstetrics & Gynecology - Complex Family Planning |
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| Location | 929 Irish Rd, Sagle, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1205536703
- Provider Enumeration Date: 03/06/2023
- Last Update Date: 12/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 9032578943
- Enrollment ID: O20230710001700
Medical Identifiers
Medical identifiers for Ovum Medical, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205536703 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 163WC0400X | Registered Nurse - Case Management | (* (Not Available)) | Secondary |
| 163WL0100X | Registered Nurse - Lactation Consultant | (* (Not Available)) | Secondary |
| 163WX0002X | Registered Nurse - Obstetric, High-risk | (* (Not Available)) | Secondary |
| 170100000X | Medical Genetics, Ph.d. Medical Genetics | (* (Not Available)) | Secondary |
| 170300000X | Genetic Counselor, Ms | (* (Not Available)) | Secondary |
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Secondary |
| 207QB0002X | Family Medicine - Obesity Medicine | (* (Not Available)) | Secondary |
| 207VC0300X | Obstetrics & Gynecology - Complex Family Planning | (* (Not Available)) | Primary |
| 207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | (* (Not Available)) | Secondary |
| 208800000X | Urology | (* (Not Available)) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | (* (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.
Ovum Medical, Llc acts as a billing entity for following providers:
| Provider Name | Tawnya Anderson |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1376920041
PECOS PAC ID: 5597010959
Enrollment ID: I20210427002434 |
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| Provider Name | Emily Josephine Kelley-brown |
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| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
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| Provider Identifiers | NPI Number: 1710217419
PECOS PAC ID: 5890827018
Enrollment ID: I20240418002375 |
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| Provider Name | Amanda Alvelo-malina |
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| Provider Type | Practitioner - Obstetrics/gynecology |
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| Provider Identifiers | NPI Number: 1295931715
PECOS PAC ID: 3072679026
Enrollment ID: I20240419001746 |
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| Provider Name | Alyssa Hulbert |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1275264137
PECOS PAC ID: 6406296524
Enrollment ID: I20240506003508 |
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| Provider Name | Kirby Plessala |
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| Provider Type | Practitioner - Obstetrics/gynecology |
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| Provider Identifiers | NPI Number: 1134211147
PECOS PAC ID: 5698968949
Enrollment ID: I20240507000340 |
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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. Ovum Medical, Llc 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 |
|---|
Ovum Medical, Llc
929 Irish Rd,
Sagle, ID 83860-5031
Ph: (208) 217-1102 | Ovum Medical, Llc
929 Irish Rd,
Sagle, ID 83860-5031
Ph: (208) 217-1102 |
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