Walter Raymond Fairfax, MD in Coeur D Alene, ID

Walter Raymond Fairfax, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Coeur D Alene, Idaho. He went to Oregon Health Sciences University School Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Sleep Medicine. He is a member of the group practice Kootenai Health Inc and his current practice location is 2003 Kootenai Health Way, Coeur D Alene, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 625-4000.

Walter Raymond Fairfax is licensed to practice in Idaho (license number M11477) 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 1124170170.

Contact Information

	Walter Raymond Fairfax, MD
	2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051
	(208) 625-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Walter Raymond Fairfax
Gender	Male
Speciality	Sleep Medicine
Experience	45 Years
Location	2003 Kootenai Health Way, Coeur D Alene, 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:

Walter Raymond Fairfax attended and graduated from Oregon Health Sciences University School Of Medicine in 1979

NPI Data:

NPI Number: 1124170170
Provider Enumeration Date: 01/18/2007
Last Update Date: 04/16/2024

Medicare PECOS Information:

PECOS PAC ID: 6103879333
Enrollment ID: I20111128000649

Medical Identifiers

Medical identifiers for Walter Raymond Fairfax such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124170170	NPI	-	NPPES
000096870	Other	MT	BCBS PIN
0011135	Other	MT	MDCD PIN
105079600	Other	WY	MDCD PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	M11477 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kootenai Health	Coeur d'alene, ID	Hospital
Northwest Specialty Hospital	Post falls, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kootenai Health Inc	1355792276	330

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. Walter Raymond Fairfax allows following entities to bill medicare on his behalf.

Entity Name	Kootenai Health, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235288655 PECOS PAC ID: 4789641598 Enrollment ID: O20041214000230

Entity Name	Kootenai Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252

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. Walter Raymond Fairfax 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
Walter Raymond Fairfax, MD 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 625-4000	Walter Raymond Fairfax, MD 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 625-4000

Reviews and Comments

Internal Medicine Doctors in Coeur D Alene, ID

Diana Johns, Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 2248 W Rosebud Ln, Coeur D Alene, ID 83814 Phone: 907-687-6248
Marc Olav Granrud, Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-6900 Fax: 208-625-6710
Kevin Nathaniel Brown, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-6900 Fax: 208-625-6910
Edward J Macinerney, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 320, Coeur D Alene, ID 83814 Phone: 208-625-5250 Fax: 208-625-5251
Dr. Amanda Rose Liggett, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 378, Coeur D Alene, ID 83814 Phone: 208-625-3555 Fax: 208-765-1494
Dr. Robert Scoggins, M.D., PH.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 378, Coeur D Alene, ID 83814 Phone: 208-765-1252 Fax: 208-765-1494
Dr. Sean Tristan Lawrence Cook, D.O. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2120 W Ironwood Center Dr, Coeur D Alene, ID 83814 Phone: 208-625-6944 Fax: 208-625-6945

Walter Raymond Fairfax, MD - Medicare Sleep Medicine in Coeur D Alene, ID