Dr Brad L Wynn, DO - Medicare Family Practice in Rupert, ID

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Dr Brad L Wynn, DO is a medicare enrolled "Family Medicine" physician in Rupert, Idaho. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Minidoka Memorial Hospital and his current practice location is 1308 8th St Ste 1, Rupert, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 436-4322.

Dr Brad L Wynn is licensed to practice in Idaho (license number O-0676) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902033608.

Contact Information

Dr Brad L Wynn, DO
1308 8th St Ste 1,
Rupert, ID 83350-1535
(208) 436-4322
(208) 436-1312

Map and Direction




Physician's Profile

Full NameDr Brad L Wynn
GenderMale
SpecialityFamily Practice
Experience16 Years
Location1308 8th St Ste 1, Rupert, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Brad L Wynn graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1902033608
  • Provider Enumeration Date: 06/19/2009
  • Last Update Date: 08/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0446400683
  • Enrollment ID: I20121023000781

Medical Identifiers

Medical identifiers for Dr Brad L Wynn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902033608NPI-NPPES
1902033608MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine O-0676 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Minidoka Memorial HospitalRupert, IDHospital
Cassia Regional HospitalBurley, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Minidoka Memorial Hospital731590889420

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 Brad L Wynn allows following entities to bill medicare on his behalf.
Entity NameMinidoka Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134333495
PECOS PAC ID: 7315908894
Enrollment ID: O20041019001205
Entity NameMinidoka Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679553531
PECOS PAC ID: 7315908894
Enrollment ID: O20050801000086

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 Brad L Wynn 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
Dr Brad L Wynn, DO
1224 8th Street,
Rupert, ID 83350-1527

Ph: (208) 434-4236		Dr Brad L Wynn, DO
1308 8th St Ste 1,
Rupert, ID 83350-1535

Ph: (208) 436-4322

Reviews and Comments


Family Medicine Doctors in Rupert, ID

Aleksandr Doroshkin, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1308 8th St Ste 1, Rupert, ID 83350
Phone: 208-436-4322    Fax: 208-436-1312
Mark Dahle, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1308 8th St Ste 1, Rupert, ID 83350
Phone: 208-436-4322    Fax: 208-436-1312
Dr. Donald J Konrad, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1224 8th St, Rupert, ID 83350
Phone: 208-436-5266    Fax: 208-434-8675
Mr. Jeffrey Scott Swenson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1308 8th St Ste 1, Rupert, ID 83350
Phone: 208-436-4322    Fax: 208-436-1312
Dr. Brian R Muir, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1308 8th St Ste 1, Rupert, ID 83350
Phone: 208-436-4322    Fax: 208-436-1312
Dr. Dawn Ariel Jennings, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 402 6th St, Rupert, ID 83350
Phone: 208-650-7941    
Janet King, RN NP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1024 8th St, Rupert, ID 83350
Phone: 208-436-0734    Fax: 208-436-0735

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.