Dr Jerrold Neil Flyer, MD is a medicare enrolled "Surgery" physician in Mountain Home Afb, Idaho. His current practice location is
90 Hope Dr, Building 6000, Mountain Home Afb, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 828-7600.
Dr Jerrold Neil Flyer is licensed to practice in New York (license number 162603-1) 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 1417944240.
Physician's Profile
Full Name | Dr Jerrold Neil Flyer |
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Gender | Male |
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Speciality | Surgery |
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Location | 90 Hope Dr, Mountain Home Afb, Idaho |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417944240
- Provider Enumeration Date: 10/06/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2567654205
- Enrollment ID: I20130809000673
Medical Identifiers
Medical identifiers for Dr Jerrold Neil Flyer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417944240 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 162603-1 (New York) | 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 Jerrold Neil Flyer 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 Jerrold Neil Flyer, MD 4476 Tuck St, Mountain Home Afb, ID 83648-1107 Ph: (623) 326-8092 | Dr Jerrold Neil Flyer, MD 90 Hope Dr, Building 6000, Mountain Home Afb, ID 83648-1057 Ph: (208) 828-7600 |
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