Dr Dwaine Anthony Tesnohlidek, MD is a medicare enrolled "Surgery" physician in Fruitland, Idaho. His current practice location is
1210 Nw 16th St, Fruitland, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 452-8600.
Dr Dwaine Anthony Tesnohlidek is licensed to practice in Idaho (license number M6508) 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 1437240009.
Physician's Profile
| Full Name | Dr Dwaine Anthony Tesnohlidek |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1210 Nw 16th St, Fruitland, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Dwaine Anthony Tesnohlidek attended and graduated from in
NPI Data:
- NPI Number: 1437240009
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 09/18/2012
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Dwaine Anthony Tesnohlidek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1437240009 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | MD18758 (Oregon) | Secondary |
| 208600000X | Surgery | M6508 (Idaho) | 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 Dwaine Anthony Tesnohlidek 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 Dwaine Anthony Tesnohlidek, MD
190 E Bannock St,
Boise, ID 83712-6241
Ph: (208) 381-2222 | Dr Dwaine Anthony Tesnohlidek, MD
1210 Nw 16th St,
Fruitland, ID 83619-2202
Ph: (208) 452-8600 |
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