Tanner Souza, DO - Medicare Family Medicine in Coeur D Alene, ID

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Tanner Souza, DO is a medicare enrolled "Family Medicine" physician in Coeur D Alene, Idaho. His current practice location is 1130 W Prairie Ave, Coeur D Alene, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 209-0288.

Tanner Souza is licensed to practice in Idaho (license number 0-1993) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1447837166.

Contact Information

Tanner Souza, DO
1130 W Prairie Ave,
Coeur D Alene, ID 83815-8780
(208) 209-0288
(208) 209-0289

Map and Direction




Physician's Profile

Full NameTanner Souza
GenderMale
SpecialityFamily Medicine
Location1130 W Prairie Ave, Coeur D Alene, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447837166
  • Provider Enumeration Date: 03/27/2021
  • Last Update Date: 08/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8729476676
  • Enrollment ID: I20231115001726

Medical Identifiers

Medical identifiers for Tanner Souza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447837166NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice DO3477 (Nevada)Secondary
207Q00000XFamily Medicine 0-1993 (Idaho)Primary

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. Tanner Souza allows following entities to bill medicare on his behalf.
Entity NameUrgent Care Nevada Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134546575
PECOS PAC ID: 7012137037
Enrollment ID: O20140925000800
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191002002008

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. Tanner Souza 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
Tanner Souza, DO
Po Box 1517,
Pendleton, OR 97801-0410

Ph: (541) 278-4332		Tanner Souza, DO
1130 W Prairie Ave,
Coeur D Alene, ID 83815-8780

Ph: (208) 209-0288

Reviews and Comments


Family Medicine Doctors in Coeur D Alene, ID

Erica Magers, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 914 W Ironwood Dr Ste 101, Coeur D Alene, ID 83814
Phone: 208-625-3500    Fax: 208-625-3501
Dr. Stephen Paul Smiley, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1130 W Prairie Ave, Coeur D Alene, ID 83815
Phone: 208-209-0288    Fax: 208-209-0289
Heidi A Herold, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 315 W Dalton Ave Ste B, Coeur D Alene, ID 83815
Phone: 208-209-2066    Fax: 208-209-2076
Ryan John Gilles, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1919 Lincoln Way, 315, Coeur D Alene, ID 83814
Phone: 208-625-6000    Fax: 208-625-6001
Dr. Matthew C. Bean, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1919 Lincoln Way Ste 315, Coeur D Alene, ID 83814
Phone: 208-625-6000    Fax: 208-625-6001
Alanna Caitlin Russo, NP
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814
Phone: 208-625-4000    
Crystal Lee Pyrak, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1919 Lincoln Way, Ste 315, Coeur D Alene, ID 83814
Phone: 208-625-6000    Fax: 208-625-6001

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.