Dr Bruce E Gollub, MD in Twin Falls, ID - Medicare Family Practice

Dr Bruce E Gollub, MD is a medicare enrolled "Family Medicine" physician in Twin Falls, Idaho. He went to University Of Missouri, Columbia School Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice St Lukes Clinic Llc, Ketchum Family Medicine, Pllc and his current practice location is 775 Pole Line Rd W Ste 103, Twin Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 814-8375.

Dr Bruce E Gollub is licensed to practice in Idaho (license number M-17332) 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 1508855917.

Contact Information

	Dr Bruce E Gollub, MD
	775 Pole Line Rd W Ste 103, Twin Falls, ID 83301-5819
	(208) 814-8375
	(208) 814-8376

Map and Direction

Physician's Profile

Full Name	Dr Bruce E Gollub
Gender	Male
Speciality	Family Practice
Experience	45 Years
Location	775 Pole Line Rd W Ste 103, Twin Falls, Idaho
Accepts Medicare Assignments	Yes. 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 Bruce E Gollub attended and graduated from University Of Missouri, Columbia School Of Medicine in 1979

NPI Data:

NPI Number: 1508855917
Provider Enumeration Date: 10/18/2005
Last Update Date: 11/30/2023

Medicare PECOS Information:

PECOS PAC ID: 0941464986
Enrollment ID: I20231019002085

Medical Identifiers

Medical identifiers for Dr Bruce E Gollub such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508855917	NPI	-	NPPES
22491	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	80-158 (New Mexico)	Secondary
208D00000X	General Practice	80-158 (New Mexico)	Secondary
207Q00000X	Family Medicine	M-17332 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Luke's Wood River Medical Center	Ketchum, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Lukes Clinic Llc	1052217478	274
Ketchum Family Medicine, Pllc	7113347717	2

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 Bruce E Gollub allows following entities to bill medicare on his behalf.

Entity Name	St Lukes Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899

Entity Name	Ketchum Family Medicine, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720692650 PECOS PAC ID: 7113347717 Enrollment ID: O20201021000353

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 Bruce E Gollub 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 Bruce E Gollub, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: () -	Dr Bruce E Gollub, MD 775 Pole Line Rd W Ste 103, Twin Falls, ID 83301-5819 Ph: (208) 814-8375

Reviews and Comments

Family Medicine Doctors in Twin Falls, ID

Blaine Gibby, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 N College Rd Ste A&b, Twin Falls, ID 83301 Phone: 208-814-8000 Fax: 208-933-4919
Dr. Cathy White Canty, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 388 Martin St, Twin Falls, ID 83301 Phone: 208-734-0451 Fax: 208-734-0452
Jonathan Muretisch, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 512 Pole Line Rd Ste 2, Twin Falls, ID 83301 Phone: 208-514-2500 Fax: 208-375-2217
Marc Allan, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 512 Pole Line Rd Ste 2, Twin Falls, ID 83301 Phone: 208-735-3636 Fax: 208-735-3637
Steven A. Kohtz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 N College Rd, Suite A, Twin Falls, ID 83301 Phone: 208-814-7300 Fax: 208-933-4601
Dr. Nichole S Halverson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 526 Shoup Ave W Ste F, Twin Falls, ID 83301 Phone: 208-736-7620
Mary Beth Curtis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 730 N College Rd, Suite A, Twin Falls, ID 83301 Phone: 208-814-7300 Fax: 208-933-4601

Dr Bruce E Gollub, MD - Medicare Family Practice in Twin Falls, ID