Dr John Stephen Kundrat, MD PA is a
Ophthalmology physician based in Lewiston, Idaho. Dr John Stephen Kundrat is licensed to practice in Idaho (license number M3432) and his current practice location is 3316 Fourth Street, Lewiston, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 746-0458.
NPI number for Dr John Stephen Kundrat is 1063589133 and his current mailing address is 3316 Fourth Street, Bldg 3, Lewiston, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063589133.
Physician's Profile
| Full Name | Dr John Stephen Kundrat |
|---|
| Gender | Male |
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| Speciality | Ophthalmology |
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| Location | 3316 Fourth Street, Lewiston, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063589133
- Provider Enumeration Date: 11/30/2006
- Last Update Date: 12/19/2012
Medical Identifiers
Medical identifiers for Dr John Stephen Kundrat such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063589133 | NPI | - | NPPES |
| 002460100 | Medicaid | ID | |
| 1478601 | Other | WA | MEDICAID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | M3432 (Idaho) | Primary |
| 207W00000X | Ophthalmology | MD00014874 (Washington) | Secondary |
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 John Stephen Kundrat is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr John Stephen Kundrat, MD PA
3316 Fourth Street, Bldg 3,
Lewiston, ID 83501-4405
Ph: (208) 746-0458 | Dr John Stephen Kundrat, MD PA
3316 Fourth Street,
Lewiston, ID 83501-4405
Ph: (208) 746-0458 |
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