Dr Roderick Jack Willmore, MD - Medicare Diagnostic Radiology in Idaho Falls, ID

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Dr Roderick Jack Willmore, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Idaho Falls, Idaho. He went to Virginia Commonwealth University, School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Teton Radiology Diagnostic A Series Of Teton Group Enterprise, Teton Radiology Caldwell, Teton Radiology Madison Llc, Teton Radiology Diagnostic A Series Of Teton Group Enterprise, Teton Radiology Caldwell, Teton Radiology Madison Llc, Medical Imaging Associates Of Idaho Falls Inc, Memorial Hospital Of Carbon County, Teton Radiology Diagnostic A Series Of Teton Group Enterprise, Teton Radiology Caldwell, Teton Radiology Madison Llc, Medical Imaging Associates Of Idaho Falls Inc, Teton Radiology Diagnostic A Series Of Teton Group Enterprise, Teton Radiology Caldwell, Teton Radiology Madison Llc, Medical Imaging Associates Of Idaho Falls Inc and his current practice location is 3100 Channing Way, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 529-6111.

Dr Roderick Jack Willmore is licensed to practice in Idaho (license number M13586) 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 1346538253.

Contact Information

Dr Roderick Jack Willmore, MD
3100 Channing Way,
Idaho Falls, ID 83404-7533
(208) 529-6111
Not Available

Map and Direction




Physician's Profile

Full NameDr Roderick Jack Willmore
GenderMale
SpecialityDiagnostic Radiology
Experience13 Years
Location3100 Channing Way, Idaho Falls, 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 Roderick Jack Willmore attended and graduated from Virginia Commonwealth University, School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1346538253
  • Provider Enumeration Date: 07/12/2011
  • Last Update Date: 05/15/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 5597997379
  • Enrollment ID: I20160721002408

Medical Identifiers

Medical identifiers for Dr Roderick Jack Willmore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346538253NPI-NPPES
1346538253MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology M13586 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mountain View HospitalIdaho falls, IDHospital
Portneuf Medical CenterPocatello, IDHospital
Eastern Idaho Regional Medical CenterIdaho falls, IDHospital
Sagewest Health CareRiverton, WYHospital
Steele Memorial Medical CenterSalmon, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Teton Radiology Diagnostic A Series Of Teton Group Enterprise125443695935
Teton Radiology Caldwell23658927429
Teton Radiology Madison Llc690195802430
Teton Radiology Diagnostic A Series Of Teton Group Enterprise125443695935
Teton Radiology Caldwell23658927429
Teton Radiology Madison Llc690195802430
Medical Imaging Associates Of Idaho Falls Inc761887659046
Memorial Hospital Of Carbon County963806717623
Teton Radiology Diagnostic A Series Of Teton Group Enterprise125443695935
Teton Radiology Caldwell23658927429
Teton Radiology Madison Llc690195802430
Medical Imaging Associates Of Idaho Falls Inc761887659046
Teton Radiology Diagnostic A Series Of Teton Group Enterprise125443695935
Teton Radiology Caldwell23658927429
Teton Radiology Madison Llc690195802430
Medical Imaging Associates Of Idaho Falls Inc761887659046

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 Roderick Jack Willmore allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Utah Adult Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114321981
PECOS PAC ID: 0941525273
Enrollment ID: O20150209001683
Entity NameCache Valley Vein
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831662311
PECOS PAC ID: 5294069563
Enrollment ID: O20190620003088
Entity NameTeton Radiology Madison Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407081060
PECOS PAC ID: 6901958024
Enrollment ID: O20231027001781
Entity NameTeton Vascular Institute Of Pocatello A Series Of Teton Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508224379
PECOS PAC ID: 8921306846
Enrollment ID: O20231106000803
Entity NameTeton Radiology Diagnostic A Series Of Teton Group Enterprise
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013085604
PECOS PAC ID: 1254436959
Enrollment ID: O20231127001700
Entity NameTeton Radiology Caldwell
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336920420
PECOS PAC ID: 2365892742
Enrollment ID: O20231227002126

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 Roderick Jack Willmore 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 Roderick Jack Willmore, MD
2265 E Sunnyside Rd,
Idaho Falls, ID 83404-7598

Ph: (208) 542-5000		Dr Roderick Jack Willmore, MD
3100 Channing Way,
Idaho Falls, ID 83404-7533

Ph: (208) 529-6111

Reviews and Comments


Radiology Doctors in Idaho Falls, ID

Dr. Alan B Wray, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 3100 Channing Way, Idaho Falls, ID 83404
Phone: 208-227-2600    
Dr. James W Taylor, D.O.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Channing Way, Idaho Falls, ID 83404
Phone: 208-529-6111    
Dr. Neal J Clinger, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Channing Way, Idaho Falls, ID 83404
Phone: 208-227-2600    
Dr. Michael Sean Enslow, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Channing Way, Idaho Falls, ID 83404
Phone: 208-529-6111    
James P Edlin, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Channing Way, Idaho Falls, ID 83404
Phone: 208-529-6111    
Brett Scott Talbot, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Channing Way, Idaho Falls, ID 83404
Phone: 208-529-6111    

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.