Matt Tannenbaum, MD in Idaho Falls, ID

Matt Tannenbaum, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Idaho Falls, Idaho. He went to Albany Medical College Of Union University and graduated in 1993 and has 32 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Mountain View Hospital Llc, Pathology Associates Of Idaho Falls P A and his current practice location is 3100 Channing Way, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 529-6050.

Matt Tannenbaum is licensed to practice in Idaho (license number M7775) 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 1093783375.

Contact Information

	Matt Tannenbaum, MD
	3100 Channing Way, Idaho Falls, ID 83404-7533
	(208) 529-6050
	(208) 529-7085

Map and Direction

Physician's Profile

Full Name	Matt Tannenbaum
Gender	Male
Speciality	Pathology
Experience	32 Years
Location	3100 Channing Way, Idaho Falls, 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:

Matt Tannenbaum attended and graduated from Albany Medical College Of Union University in 1993

NPI Data:

NPI Number: 1093783375
Provider Enumeration Date: 03/10/2006
Last Update Date: 12/27/2012

Medicare PECOS Information:

PECOS PAC ID: 0244329431
Enrollment ID: I20100820000822

Medical Identifiers

Medical identifiers for Matt Tannenbaum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093783375	NPI	-	NPPES
000010005388	Other	ID	REGENCE BLUE SHIELD ID
805449000	Medicaid	ID
32946	Other	ID	BLUE CROSS OF ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	M7775 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mountain View Hospital	Idaho falls, ID	Hospital
Eastern Idaho Regional Medical Center	Idaho falls, ID	Hospital
Idaho Falls Community Hospital, Llc	Idaho falls, ID	Hospital
Star Valley Medical Center	Afton, WY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mountain View Hospital Llc	4486562774	188
Pathology Associates Of Idaho Falls P A	8527157700	6

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. Matt Tannenbaum allows following entities to bill medicare on his behalf.

Entity Name	Mountain View Hospital Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343

Entity Name	Pathology Associates Of Idaho Falls P A
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497723241 PECOS PAC ID: 8527157700 Enrollment ID: O20071211000664

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. Matt Tannenbaum 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
Matt Tannenbaum, MD 1820 E 17th St, Ste 230, Idaho Falls, ID 83404-6521 Ph: (208) 529-9779	Matt Tannenbaum, MD 3100 Channing Way, Idaho Falls, ID 83404-7533 Ph: (208) 529-6050

Reviews and Comments

Pathology Doctors in Idaho Falls, ID

Gary Earl Ellwein, MD Pathology Medicare: Medicare Enrolled Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6050 Fax: 208-529-7085
Clark R Daines, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6050 Fax: 208-529-7085
Floyd Joseph Fantelli, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6050 Fax: 208-529-7085
Dr. Gabriele Emma Teermann, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6048 Fax: 208-529-7085

Matt Tannenbaum, MD - Medicare Pathology in Idaho Falls, ID