Dr Donald Douglas Gandy, DO is a medicare enrolled "Internal Medicine" physician in St Maries, Idaho. His current practice location is
229 S 7th St Fl 3, St Maries, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 245-2591.
Dr Donald Douglas Gandy is licensed to practice in Idaho (license number O-1923) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073552808.
Physician's Profile
| Full Name | Dr Donald Douglas Gandy |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 229 S 7th St Fl 3, St Maries, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073552808
- Provider Enumeration Date: 06/06/2006
- Last Update Date: 06/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 7315907284
- Enrollment ID: I20041014000875
Medical Identifiers
Medical identifiers for Dr Donald Douglas Gandy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073552808 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | O-1923 (Idaho) | Secondary |
| 207R00000X | Internal Medicine | O-1923 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Donald Douglas Gandy allows following entities to bill medicare on his behalf.
| Entity Name | Pinnacle Emergency Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982664801
PECOS PAC ID: 4880671882
Enrollment ID: O20050120000060 |
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| Entity Name | Hidalgo Emergency Medicine Associates Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467473033
PECOS PAC ID: 1153325840
Enrollment ID: O20060912000298 |
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| Entity Name | Laredo Emergency Medicine Associates Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144254327
PECOS PAC ID: 5395741896
Enrollment ID: O20061005000481 |
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| Entity Name | Pearsall Emergency Medicine Associates, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104326263
PECOS PAC ID: 1557623147
Enrollment ID: O20180319002335 |
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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. Dr Donald Douglas Gandy 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 |
|---|
Dr Donald Douglas Gandy, DO
229 S 7th St,
St Maries, ID 83861-1803
Ph: (208) 245-5551 | Dr Donald Douglas Gandy, DO
229 S 7th St Fl 3,
St Maries, ID 83861-1803
Ph: (208) 245-2591 |
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