Luke Adam Poulter, DO - Medicare Family Practice in Pocatello, ID

  1. Home
  2. Family Medicine
  3. ID
  4. Pocatello
Luke Adam Poulter, DO is a medicare enrolled "Family Medicine" physician in Pocatello, Idaho. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice St Lukes Clinic-treasure Valley Llc and his current practice location is 465 Memorial Dr, Pocatello, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 282-4700.

Luke Adam Poulter is licensed to practice in Idaho (license number MRO-1384) 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 1700290947.

Contact Information

Luke Adam Poulter, DO
465 Memorial Dr,
Pocatello, ID 83201-4008
(208) 282-4700
(208) 282-4696

Map and Direction




Physician's Profile

Full NameLuke Adam Poulter
GenderMale
SpecialityFamily Practice
Experience10 Years
Location465 Memorial Dr, Pocatello, 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:
  • Luke Adam Poulter attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2014
  NPI Data:
  • NPI Number: 1700290947
  • Provider Enumeration Date: 06/16/2014
  • Last Update Date: 06/16/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6002033214
  • Enrollment ID: I20160321002537

Medical Identifiers

Medical identifiers for Luke Adam Poulter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700290947NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MRO-1384 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Regional Medical CenterBoise, IDHospital
St Luke's Nampa Medical CenterNampa, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Clinic-treasure Valley Llc4981878402991

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. Luke Adam Poulter allows following entities to bill medicare on his behalf.
Entity NameMountain View Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669462362
PECOS PAC ID: 4486562774
Enrollment ID: O20040527001343
Entity NameSt Lukes Clinic-treasure Valley Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045

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. Luke Adam Poulter 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
Luke Adam Poulter, DO
465 Memorial Dr,
Pocatello, ID 83201-4008

Ph: (208) 282-4700		Luke Adam Poulter, DO
465 Memorial Dr,
Pocatello, ID 83201-4008

Ph: (208) 282-4700

Reviews and Comments


Family Medicine Doctors in Pocatello, ID

Shayna Larae Harding, APRN
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1133 Call Creek Dr # A, Pocatello, ID 83201
Phone: 208-232-1000    Fax: 208-232-1006
Cody E Patterson, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 151 N 4th Ave, Pocatello, ID 83201
Phone: 208-269-7147    Fax: 208-416-6522
Dr. Bradley Yamashita Beaufort, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 465 Memorial Dr, Pocatello, ID 83201
Phone: 208-282-4700    Fax: 208-282-4696
Ryan Hudgens, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 465 Memorial Dr, Pocatello, ID 83201
Phone: 208-232-7862    
Shaylor Bringhurst, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 465 Memorial Dr, Pocatello, ID 83201
Phone: 208-232-7862    
Dr. Sharla Clark, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1951 Bench Road, Suite B, Pocatello, ID 83201
Phone: 208-238-1000    Fax: 208-238-0009
Marie Elwood, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 465 Memorial Dr, Pocatello, ID 83201
Phone: 208-232-7862    

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.