Dr Carl Jay Bodenstein, MD - Medicare Pediatrics in Spokane, WA

Dr Carl Jay Bodenstein, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Spokane, Washington. His current practice location is 105 W 8th Ave, Ste 336c, Spokane, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 455-8855.

Dr Carl Jay Bodenstein is licensed to practice in Washington (license number MD00020651) 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 1811960156.

Contact Information

Dr Carl Jay Bodenstein, MD
105 W 8th Ave, Ste 336c,
Spokane, WA 99204-2302
(509) 455-8855
(509) 455-8383

Map and Direction




Physician's Profile

Full NameDr Carl Jay Bodenstein
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location105 W 8th Ave, Spokane, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811960156
  • Provider Enumeration Date: 02/08/2006
  • Last Update Date: 12/21/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 1557537164
  • Enrollment ID: I20120103000770

Medical Identifiers

Medical identifiers for Dr Carl Jay Bodenstein such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811960156NPI-NPPES
10004603OtherWAREGENCE BLUE S. OF IDAHO
911922781OtherWAPHCO
911922781OtherWACIGNA
BO6528OtherWAASURIS NW HEALTH
911922781OtherWAPREMERA
911922781MedicaidWA
8458507MedicaidWA
KA345OtherWABLUE CROSS OF IDAHO
000038801MedicaidID
205997MedicaidOR
0000108137MedicaidMT
5404342OtherWAAETNA
911922781OtherWAUNITED HEALTH CARE
911922781OtherWAGROUP HEALTH NW

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine MD00020651 (Washington)Primary

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 Carl Jay Bodenstein 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 Carl Jay Bodenstein, MD
105 W 8th Ave, Ste 336c,
Spokane, WA 99204-2302

Ph: (509) 455-8855
Dr Carl Jay Bodenstein, MD
105 W 8th Ave, Ste 336c,
Spokane, WA 99204-2302

Ph: (509) 455-8855

Reviews and Comments


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