Dr Joni Evelyn Shriver, DO is a medicare enrolled "Emergency Medicine" physician in Weiser, Idaho. Her current practice location is
645 E 5th St, Weiser, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 549-0370.
Dr Joni Evelyn Shriver is licensed to practice in Idaho (license number O-1014) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063755346.
Physician's Profile
| Full Name | Dr Joni Evelyn Shriver |
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| Gender | Female |
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| Speciality | Emergency Medicine |
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| Location | 645 E 5th St, Weiser, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1063755346
- Provider Enumeration Date: 04/04/2013
- Last Update Date: 04/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 0244551026
- Enrollment ID: I20150604002127
Medical Identifiers
Medical identifiers for Dr Joni Evelyn Shriver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063755346 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | Q3099 (Texas) | Secondary |
| 207P00000X | Emergency Medicine | DO176456 (Oregon) | Secondary |
| 207P00000X | Emergency Medicine | O-1014 (Idaho) | Primary |
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 Joni Evelyn Shriver allows following entities to bill medicare on her behalf.
| Entity Name | Integrative Emergency Services Physician Group-houston Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801458708
PECOS PAC ID: 7113258500
Enrollment ID: O20191016002208 |
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| Entity Name | Cec San Antonio Er Physicians Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124364302
PECOS PAC ID: 3173954955
Enrollment ID: O20200511003066 |
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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 Joni Evelyn Shriver 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 |
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Dr Joni Evelyn Shriver, DO
645 E 5th St,
Weiser, ID 83672-2202
Ph: () - | Dr Joni Evelyn Shriver, DO
645 E 5th St,
Weiser, ID 83672-2202
Ph: (208) 549-0370 |
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