Edward R Setser, MD - Medicare Thoracic Surgery in Idaho Falls, ID

Edward R Setser, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Idaho Falls, Idaho. He went to Brody School Of Medicine At East Carolina University and graduated in 1985 and has 39 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Idaho Physician Services Inc and his current practice location is 3200 Channing Way Ste A205, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 535-4580.

Edward R Setser is licensed to practice in Idaho (license number M12737) 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 1013977297.

Contact Information

Edward R Setser, MD
3200 Channing Way Ste A205,
Idaho Falls, ID 83404-7586
(208) 535-4580
(208) 535-4520

Map and Direction




Physician's Profile

Full NameEdward R Setser
GenderMale
SpecialityThoracic Surgery
Experience39 Years
Location3200 Channing Way Ste A205, 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:
  • Edward R Setser attended and graduated from Brody School Of Medicine At East Carolina University in 1985
  NPI Data:
  • NPI Number: 1013977297
  • Provider Enumeration Date: 03/23/2006
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6406807841
  • Enrollment ID: I20150302000015

Medical Identifiers

Medical identifiers for Edward R Setser such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013977297NPI-NPPES
0129142000MedicaidWV
550357050OtherWVUNITED MINE WORKERS
000023797OtherWVBCBS MOUNTAIN STATE
030028200OtherWVBLACK LUNG
0289272MedicaidOH
64942469MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 34713 (Kentucky)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) M12737 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Eastern Idaho Regional Medical CenterIdaho falls, IDHospital
Madison Memorial HospitalRexburg, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Idaho Physician Services Inc216343094318

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. Edward R Setser allows following entities to bill medicare on his behalf.
Entity NameIdaho Physician Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902841893
PECOS PAC ID: 2163430943
Enrollment ID: O20070208000680

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. Edward R Setser 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
Edward R Setser, MD
Po Box 277381,
Atlanta, GA 30384-7381

Ph: () -
Edward R Setser, MD
3200 Channing Way Ste A205,
Idaho Falls, ID 83404-7586

Ph: (208) 535-4580

Reviews and Comments


Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Idaho Falls, ID

Dr. Michael H Denyer, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 2225 Teton Plz, Ste B, Idaho Falls, ID 83404
Phone: 208-524-4660    Fax: 208-524-4617
Dr. Denis P Raleigh, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Medicare Enrolled
Practice Location: 3200 Channing Way Ste 205, Idaho Falls, ID 83404
Phone: 208-535-4580    

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.