Kimberly Tenold, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Hailey, Idaho. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice St Lukes Clinic - Wood River Llc and her current practice location is
1450 Aviation Dr Ste 203, Hailey, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 727-8295.
Kimberly Tenold is licensed to practice in Idaho (license number PA-2160) 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 1144240268.
Physician's Profile
| Full Name | Kimberly Tenold |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 28 Years |
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| Location | 1450 Aviation Dr Ste 203, Hailey, 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. |
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Medical Education and Training:
- Kimberly Tenold graduated from medical school in 1996
NPI Data:
- NPI Number: 1144240268
- Provider Enumeration Date: 07/20/2006
- Last Update Date: 05/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 3779628870
- Enrollment ID: I20211115000563
Medical Identifiers
Medical identifiers for Kimberly Tenold such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144240268 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 102487 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 102487 (North Carolina) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA-2160 (Idaho) | Primary |
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 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. Kimberly Tenold 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 |
|---|
Kimberly Tenold, PA-C
190 E Bannock St,
Boise, ID 83712-6241
Ph: () - | Kimberly Tenold, PA-C
1450 Aviation Dr Ste 203,
Hailey, ID 83333-8785
Ph: (208) 727-8295 |
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