Dean William Rodemack, PA-C is a medicare enrolled "Physician Assistant" in Fairfield, Idaho. His current practice location is
401 W Camas Ave, Fairfield, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 764-2611.
Dean William Rodemack is licensed to practice in Idaho (license number PA-1020) 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 1548543424.
Provider's Profile
| Full Name | Dean William Rodemack |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 401 W Camas Ave, Fairfield, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dean William Rodemack attended and graduated from in
NPI Data:
- NPI Number: 1548543424
- Provider Enumeration Date: 09/27/2011
- Last Update Date: 04/08/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dean William Rodemack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548543424 | NPI | - | NPPES |
| 158543424 | Medicaid | WA | |
| 0285610 | Other | WA | LABOR & INDUSTRIES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AS0400X | Physician Assistant - Surgical | PA60245393 (Washington) | Secondary |
| 363A00000X | Physician Assistant | PA-1020 (Idaho) | Primary |
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. Dean William Rodemack 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 |
|---|
Dean William Rodemack, PA-C
794 Eastland Dr,
Twin Falls, ID 83301-6856
Ph: (208) 737-6718 | Dean William Rodemack, PA-C
401 W Camas Ave,
Fairfield, ID 83327
Ph: (208) 764-2611 |
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