Ginger L Dattilo, MD is a medicare enrolled "Internal Medicine" physician in Bellevue, Idaho. She went to University Of Louisville School Of Medicine and graduated in 1981 and has 43 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice St Lukes Clinic - Wood River Llc and her current practice location is
111 Ridgview Dr., Bellevue, Idaho. You can reach out to her office (for appointments etc.) via phone at
(720) 301-2055.
Ginger L Dattilo is licensed to practice in Oregon (license number MD20663) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639240864.
Physician's Profile
Full Name | Ginger L Dattilo |
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Gender | Female |
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Speciality | Hospitalist |
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Experience | 43 Years |
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Location | 111 Ridgview Dr., Bellevue, Idaho |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ginger L Dattilo attended and graduated from University Of Louisville School Of Medicine in 1981
NPI Data:
- NPI Number: 1639240864
- Provider Enumeration Date: 11/10/2006
- Last Update Date: 05/15/2015
Medicare PECOS Information:
- PECOS PAC ID: 8820184518
- Enrollment ID: I20130620000445
Medical Identifiers
Medical identifiers for Ginger L Dattilo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639240864 | NPI | - | NPPES |
272459 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | MD20663 (Oregon) | Primary |
207RG0300X | Internal Medicine - Geriatric Medicine | 43963 (Colorado) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
St Lukes Clinic - Wood River Llc | 3173783818 | 54 |
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. Ginger L Dattilo allows following entities to bill medicare on her behalf.
Entity Name | St Joseph Regional Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790816262 PECOS PAC ID: 2961497235 Enrollment ID: O20041220001093 |
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Entity Name | Sound Physicians Of Idaho |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730407461 PECOS PAC ID: 4688705346 Enrollment ID: O20100624000921 |
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Entity Name | St Lukes Clinic - Wood River Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972891604 PECOS PAC ID: 3173783818 Enrollment ID: O20120404000474 |
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Entity Name | Vibra Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659705424 PECOS PAC ID: 8921233933 Enrollment ID: O20141105002107 |
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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. Ginger L Dattilo 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 |
Ginger L Dattilo, MD Po Box 828, Bellevue, ID 83313-0828 Ph: (720) 301-2055 | Ginger L Dattilo, MD 111 Ridgview Dr., Bellevue, ID 83313-0828 Ph: (720) 301-2055 |
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