Keith Thomas Sivertson, MD in Ketchum, ID - Medicare Emergency Medicine

Keith Thomas Sivertson, MD is a medicare enrolled "Emergency Medicine" physician in Ketchum, Idaho. His current practice location is 100 Hospital Drive, Ketchum, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 727-8445.

Keith Thomas Sivertson is licensed to practice in Idaho (license number M5846) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275560260.

Contact Information

	Keith Thomas Sivertson, MD
	100 Hospital Drive, Ketchum, ID 83340
	(208) 727-8445
	(298) 727-8446

Map and Direction

Physician's Profile

Full Name	Keith Thomas Sivertson
Gender	Male
Speciality	Emergency Medicine
Location	100 Hospital Drive, Ketchum, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275560260
Provider Enumeration Date: 06/27/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5799940268
Enrollment ID: I20120706000624

Medical Identifiers

Medical identifiers for Keith Thomas Sivertson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275560260	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	M5846 (Idaho)	Primary

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. Keith Thomas Sivertson allows following entities to bill medicare on his behalf.

Entity Name	Hyperbaric Centers Of Idaho Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851866545 PECOS PAC ID: 9537606660 Enrollment ID: O20240806003834

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. Keith Thomas Sivertson 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
Keith Thomas Sivertson, MD Po Box 7010, Ketchum, ID 83340-7010 Ph: (208) 725-5615	Keith Thomas Sivertson, MD 100 Hospital Drive, Ketchum, ID 83340 Ph: (208) 727-8445

Reviews and Comments

Emergency Medicine Doctors in Ketchum, ID

Kevin Kittleson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Drive, Ketchum, ID 83340 Phone: 208-727-8100
Dr. Janet Anne Rosenquist, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Drive., Ketchum, ID 83340 Phone: 208-727-8100 Fax: 208-727-8124
Kelly Dilorenzo, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Ketchum, ID 83340 Phone: 208-727-8100
Deborah G Robertson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Drive, Ketchum, ID 83340 Phone: 208-727-8100
Dr. Jennie Hooper, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Ketchum, ID 83340 Phone: 208-727-8283
Mrs. Autumn M Loomis, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Ketchum, ID 83340 Phone: 208-727-8100

Keith Thomas Sivertson, MD - Medicare Emergency Medicine in Ketchum, ID