Thadeus B Koontz, MD - Medicare Psychiatry & Neurology in Lewiston, ID

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Thadeus B Koontz, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Lewiston, Idaho. His current practice location is 428 6th Ave, Lewiston, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 750-7462.

Thadeus B Koontz is licensed to practice in Idaho (license number M-11984) 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 1609010156.

Contact Information

Thadeus B Koontz, MD
428 6th Ave,
Lewiston, ID 83501-2355
(208) 750-7462
Not Available

Map and Direction




Physician's Profile

Full NameThadeus B Koontz
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location428 6th Ave, Lewiston, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609010156
  • Provider Enumeration Date: 04/28/2009
  • Last Update Date: 05/21/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3072757012
  • Enrollment ID: I20130913000262

Medical Identifiers

Medical identifiers for Thadeus B Koontz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609010156NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry M11984 (Idaho)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry M-11984 (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. Thadeus B Koontz allows following entities to bill medicare on his behalf.
Entity NameSaint Alphonsus Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649357716
PECOS PAC ID: 3476462359
Enrollment ID: O20040204001036
Entity NameHuman Supports Of Idaho
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922340124
PECOS PAC ID: 0244485894
Enrollment ID: O20130305000118
Entity NameSt Joseph Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205368404
PECOS PAC ID: 8325325806
Enrollment ID: O20170606002496
Entity NameHelicase Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083343388
PECOS PAC ID: 9032592597
Enrollment ID: O20220816001259

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. Thadeus B Koontz 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
Thadeus B Koontz, MD
3340 E Goldstone Way,
Meridian, ID 83642-1026

Ph: (208) 367-2175		Thadeus B Koontz, MD
428 6th Ave,
Lewiston, ID 83501-2355

Ph: (208) 750-7462

Reviews and Comments


Psychiatry & Neurology Doctors in Lewiston, ID

Susanne Choby, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 415 6th St, Lewiston, ID 83501
Phone: 208-799-5700    
Dr. Arnold Kadrmas, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 415 6th St, Lewiston, ID 83501
Phone: 208-743-2511    Fax: 208-799-5554
Dr. William C Mankel, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 415 6th St, Lewiston, ID 83501
Phone: 208-743-2511    Fax: 208-799-5554
Dr. Mark R Keane, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 415 6th St, Lewiston, ID 83501
Phone: 208-750-7474    
Jean K Thomas, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 415 6th St, Lewiston, ID 83501
Phone: 208-750-7474    Fax: 208-799-5729
Dr. Natasha Vanessa Demattos, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 3326 4th St, Suite 6, Lewiston, ID 83501
Phone: 208-746-2223    

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.