Matthew J Fackrell, DO - Medicare Family Practice in Blackfoot, ID

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Matthew J Fackrell, DO is a medicare enrolled "Family Medicine" physician in Blackfoot, Idaho. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mvh Bmc Llc and his current practice location is 1441 Parkway Dr, Blackfoot, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 785-2600.

Matthew J Fackrell is licensed to practice in Colorado (license number DR.0073268) 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 1215968045.

Contact Information

Matthew J Fackrell, DO
1441 Parkway Dr,
Blackfoot, ID 83221-1667
(208) 785-2600
(208) 785-8185

Map and Direction




Physician's Profile

Full NameMatthew J Fackrell
GenderMale
SpecialityFamily Practice
Experience20 Years
Location1441 Parkway Dr, Blackfoot, 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:
  • Matthew J Fackrell graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1215968045
  • Provider Enumeration Date: 07/06/2006
  • Last Update Date: 10/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2668400458
  • Enrollment ID: I20240612001152

Medical Identifiers

Medical identifiers for Matthew J Fackrell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215968045NPI-NPPES
1374716OtherIDPTAN
807815500MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OP61556804 (Washington)Secondary
207Q00000XFamily Medicine DO221842 (Oregon)Secondary
207Q00000XFamily Medicine OS024313 (Pennsylvania)Secondary
207Q00000XFamily Medicine DR.0073268 (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Alliance Home Health CareIdaho falls, IDHome health agency
Alliance Hospice Of IdahoIdaho falls, IDHospice
Mountain View HospitalIdaho falls, IDHospital
Bingham Memorial HospitalBlackfoot, IDHospital
Eastern Idaho Regional Medical CenterIdaho falls, IDHospital
Portneuf Medical CenterPocatello, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mvh Bmc Llc296179199112

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. Matthew J Fackrell allows following entities to bill medicare on his behalf.
Entity NamePlaid Eagle Medical Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588417117
PECOS PAC ID: 6103268560
Enrollment ID: O20240530002297

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. Matthew J Fackrell 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
Matthew J Fackrell, DO
1441 Parkway Dr,
Blackfoot, ID 83221-1667

Ph: (208) 785-2600		Matthew J Fackrell, DO
1441 Parkway Dr,
Blackfoot, ID 83221-1667

Ph: (208) 785-2600

Reviews and Comments


Family Medicine Doctors in Blackfoot, ID

Peggy Toro, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 315 W Idaho St, Blackfoot, ID 83221
Phone: 208-782-3990    Fax: 208-782-3994
Dr. Amador Ramirez Cantu, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 354 S 1000 W, Blackfoot, ID 83221
Phone: 208-684-4958    
Gary W Soucie, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221
Phone: 208-785-2600    
George G Hales, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221
Phone: 208-785-2600    
Brian Carrigan, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 326 Poplar St, Blackfoot, ID 83221
Phone: 208-785-5801    Fax: 208-785-3504
Gordon E Dixon Jr., DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221
Phone: 208-785-2600    

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.