Dr Mark Edward Hernandez, MD - Medicare Family Practice in Sandpoint, ID

Dr Mark Edward Hernandez, MD is a medicare enrolled "Family Medicine" physician in Sandpoint, Idaho. He went to Baylor College Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sandpoint Family Medicine Pa and his current practice location is 302 S 1st Ave, Sandpoint, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 263-5109.

Dr Mark Edward Hernandez is licensed to practice in Idaho (license number M6092) 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 1457416224.

Contact Information

Dr Mark Edward Hernandez, MD
302 S 1st Ave,
Sandpoint, ID 83864-1258
(208) 263-5109
(208) 263-5112

Map and Direction




Physician's Profile

Full NameDr Mark Edward Hernandez
GenderMale
SpecialityFamily Practice
Experience35 Years
Location302 S 1st Ave, Sandpoint, 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 Mark Edward Hernandez attended and graduated from Baylor College Of Medicine in 1989
  NPI Data:
  • NPI Number: 1457416224
  • Provider Enumeration Date: 12/22/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7911810593
  • Enrollment ID: I20100607000133

Medical Identifiers

Medical identifiers for Dr Mark Edward Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457416224NPI-NPPES
002717200MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine M6092 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bonner General HospitalSandpoint, IDHospital
Boundary Community HospitalBonners ferry, IDHospital
Kootenai HealthCoeur d'alene, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sandpoint Family Medicine Pa53956589672

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 Mark Edward Hernandez allows following entities to bill medicare on his behalf.
Entity NameSandpoint Family Medicine Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740493832
PECOS PAC ID: 5395658967
Enrollment ID: O20031110000494

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 Mark Edward Hernandez 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 Mark Edward Hernandez, MD
290 Ponder Point Dr,
Sandpoint, ID 83864-8657

Ph: (208) 263-1588
Dr Mark Edward Hernandez, MD
302 S 1st Ave,
Sandpoint, ID 83864-1258

Ph: (208) 263-5109

Reviews and Comments


Family Medicine Doctors in Sandpoint, ID

Daniel Jack Meulenberg, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 606 N 3rd Ave Ste 101, Sandpoint, ID 83864
Phone: 208-263-1435    Fax: 208-263-7812
Patricia Jane Hennessy, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1205 Highway 2, Suite 301, Sandpoint, ID 83864
Phone: 208-265-9909    Fax: 208-265-5351
Dr. Timothy Ray Bonine, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1309 Ponderosa Dr, Suite 103, Sandpoint, ID 83864
Phone: 208-263-9545    Fax: 208-263-9539
Tracey Koch, FNP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 420 N Second Ave, Suite 100, Sandpoint, ID 83864
Phone: 208-265-2242    Fax: 208-265-8214
W Hugh Leedy, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1327 Superior St, Sandpoint, ID 83864
Phone: 208-263-1718    Fax: 208-263-7198
Dr. Steven C Puffer, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1327 Superior St, Sandpoint, ID 83864
Phone: 208-263-7101    Fax: 208-263-7198
Dr. Frazier King, M.D
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2023 Sandpoint West Dr, Sandpoint, ID 83864
Phone: 208-255-1523    Fax: 208-255-7894

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.