Kelby Jon Wilson, MD in Grangeville, ID - Medicare Family Practice

Kelby Jon Wilson, MD is a medicare enrolled "Family Medicine" physician in Grangeville, Idaho. He went to University Of Nevada School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Syringa General Hospital District Cif and his current practice location is 607 W Main St, Grangeville, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 983-1700.

Kelby Jon Wilson is licensed to practice in Idaho (license number M-14749) 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 1164872115.

Contact Information

	Kelby Jon Wilson, MD
	607 W Main St, Grangeville, ID 83530-1345
	(208) 983-1700
	(208) 983-4665

Map and Direction

Physician's Profile

Full Name	Kelby Jon Wilson
Gender	Male
Speciality	Family Practice
Experience	8 Years
Location	607 W Main St, Grangeville, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelby Jon Wilson attended and graduated from University Of Nevada School Of Medicine in 2016

NPI Data:

NPI Number: 1164872115
Provider Enumeration Date: 06/20/2016
Last Update Date: 09/30/2020

Medicare PECOS Information:

PECOS PAC ID: 7416283460
Enrollment ID: I20190729001812

Medical Identifiers

Medical identifiers for Kelby Jon Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164872115	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	M-14749 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Syringa General Hospital Hospice	Grangeville, ID	Hospice
Syringa General Hospital	Grangeville, ID	Hospital
St Joseph Regional Medical Center	Lewiston, ID	Hospital
St Marys Hospital And Clinics	Cottonwood, ID	Hospital
Grangeville Health & Rehabilitation Center	Grangeville, ID	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Syringa General Hospital District Cif	6800707530	16

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. Kelby Jon Wilson allows following entities to bill medicare on his behalf.

Entity Name	Syringa General Hospital District Cif
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750336608 PECOS PAC ID: 6800707530 Enrollment ID: O20041008000778

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. Kelby Jon Wilson 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
Kelby Jon Wilson, MD 607 W Main St, Grangeville, ID 83530-1345 Ph: (208) 983-1700	Kelby Jon Wilson, MD 607 W Main St, Grangeville, ID 83530-1345 Ph: (208) 983-1700

Reviews and Comments

Family Medicine Doctors in Grangeville, ID

Dr. Daniel C Griffis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 607 W Main St, Grangeville, ID 83530 Phone: 208-983-8590 Fax: 208-983-8580
Taylor Michael Brown, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 607 W Main St, Grangeville, ID 83530 Phone: 208-983-1700 Fax: 208-983-4665
Joan B. Thompson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 169 Cash Ln, Grangeville, ID 83530 Phone: 208-983-0160
Dr. Matthew W. Told, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 607 W Main St, Grangeville, ID 83530 Phone: 208-983-8590 Fax: 208-983-8580
Dr. Wayne L Hollopeter, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 721 W. North Street, Grangeville, ID 83530 Phone: 208-983-0300 Fax: 208-983-9176
Michael Matthews, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 607 W Main St, Grangeville, ID 83530 Phone: 208-983-1700 Fax: 208-983-4665

Kelby Jon Wilson, MD - Medicare Family Practice in Grangeville, ID