Dr Kelly Page Palmer, DO - Medicare Psychiatry in Blackfoot, ID

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Dr Kelly Page Palmer, DO is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Blackfoot, Idaho. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 1984 and has 40 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Canvi Behavioral Health Pllc and his current practice location is 700 East Alice Street, Blackfoot, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 785-8517.

Dr Kelly Page Palmer is licensed to practice in Idaho (license number O-144) 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 1184780694.

Contact Information

Dr Kelly Page Palmer, DO
700 East Alice Street,
Blackfoot, ID 83221-0400
(208) 785-8517
(208) 785-8516

Map and Direction




Physician's Profile

Full NameDr Kelly Page Palmer
GenderMale
SpecialityPsychiatry
Experience40 Years
Location700 East Alice Street, Blackfoot, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kelly Page Palmer attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 1984
  NPI Data:
  • NPI Number: 1184780694
  • Provider Enumeration Date: 12/29/2006
  • Last Update Date: 08/14/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5991879892
  • Enrollment ID: I20080809000124

Medical Identifiers

Medical identifiers for Dr Kelly Page Palmer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184780694NPI-NPPES
003398400MedicaidID
0033991MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry O-144 (Idaho)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Canvi Behavioral Health Pllc094169207310

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 Kelly Page Palmer allows following entities to bill medicare on his behalf.
Entity NamePortneuf Valley Family Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174629976
PECOS PAC ID: 6901807718
Enrollment ID: O20070122000564
Entity NameShoshone Bannock Tribes Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801949763
PECOS PAC ID: 5496804429
Enrollment ID: O20100330001318
Entity NameCanvi Behavioral Health Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144984873
PECOS PAC ID: 0941692073
Enrollment ID: O20220121000627

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 Kelly Page Palmer 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 Kelly Page Palmer, DO
Po Box 400, 700 East Alice,
Blackfoot, ID 83221-0400

Ph: (208) 785-8517		Dr Kelly Page Palmer, DO
700 East Alice Street,
Blackfoot, ID 83221-0400

Ph: (208) 785-8517

Reviews and Comments


Psychiatry & Neurology Doctors in Blackfoot, ID

Andrew L Olnes, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 700 E Alice St, Blackfoot, ID 83221
Phone: 208-785-1200    Fax: 208-785-8516
Jdee Ryan Wilson, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 700 E Alice St, State Hospital South, Blackfoot, ID 83221
Phone: 208-785-1200    Fax: 208-785-8516

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.