Dr Gordon Scott Bontrager, MD is a medicare enrolled "Family Medicine" in Pocatello, Idaho. He went to East Tennessee State University Quillen College Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Preston Family Medicine and his current practice location is
465 Memorial Dr, Pocatello, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 234-4700.
Dr Gordon Scott Bontrager is licensed to practice in Idaho (license number MRM-1734) 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 1780919829.
Provider's Profile
| Full Name | Dr Gordon Scott Bontrager |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 6 Years |
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| Location | 465 Memorial Dr, Pocatello, 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:
- Dr Gordon Scott Bontrager attended and graduated from East Tennessee State University Quillen College Of Medicine in 2018
NPI Data:
- NPI Number: 1780919829
- Provider Enumeration Date: 10/07/2009
- Last Update Date: 10/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 4486792769
- Enrollment ID: I20201211001838
Medical Identifiers
Medical identifiers for Dr Gordon Scott Bontrager such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780919829 | NPI | - | NPPES |
| 15285357 | Medicaid | TN | |
| 1780919829 | Medicaid | VA | |
| MRM-1734 | Other | ID | IDAHO BOARD OF MEDICINE - RESIDENCY |
| P01478459 | Other | TN | RAIDROAD MEDICARE |
| PA-2119 | Other | ID | IDAHO BOARD OF MEDICINE - PA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 2119 (Tennessee) | Secondary |
| 207Q00000X | Family Medicine | MRM-1734 (Idaho) | Primary |
Medical Facilities Affiliation
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. Dr Gordon Scott Bontrager allows following entities to bill medicare on his behalf.
| Entity Name | Franklin County Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548355811
PECOS PAC ID: 8820909104
Enrollment ID: O20070917000547 |
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| Entity Name | Preston Drug Health Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275245615
PECOS PAC ID: 7719359660
Enrollment ID: O20230202002068 |
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| Entity Name | Preston Family Medicine |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891406112
PECOS PAC ID: 6507239845
Enrollment ID: O20230307001343 |
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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. Dr Gordon Scott Bontrager 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 |
|---|
Dr Gordon Scott Bontrager, MD
43 N 1st E,
Preston, ID 83263-1325
Ph: (208) 648-4771 | Dr Gordon Scott Bontrager, MD
465 Memorial Dr,
Pocatello, ID 83201
Ph: (208) 234-4700 |
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