Elmer G Dodge Jr, FNP - Medicare Nurse Practitioner in Star, ID

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Elmer G Dodge Jr, FNP is a medicare enrolled "Nurse Practitioner" in Star, Idaho. His current practice location is 9858 W State St, Star, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 286-0666.

Elmer G Dodge Jr is licensed to practice in Idaho (license number NP-534A) 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 1508918236.

Contact Information

Elmer G Dodge Jr, FNP
9858 W State St,
Star, ID 83669-5210
(208) 286-0666
(208) 286-0565

Map and Direction




Provider's Profile

Full NameElmer G Dodge Jr
GenderMale
SpecialityNurse Practitioner
Location9858 W State St, Star, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508918236
  • Provider Enumeration Date: 01/16/2007
  • Last Update Date: 09/01/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4385684299
  • Enrollment ID: I20050517000711

Medical Identifiers

Medical identifiers for Elmer G Dodge Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508918236NPI-NPPES
NPQP7OtherIDBLUE CROSS OF IDAHO
000010150031OtherIDREGENCE BLUE SHIELD OF ID
806045400MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WG0000XRegistered Nurse - General Practice NP534A (Idaho)Secondary
363L00000XNurse Practitioner NP-534A (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. Elmer G Dodge Jr allows following entities to bill medicare on his behalf.
Entity NameWalter Knox Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063419018
PECOS PAC ID: 7012907785
Enrollment ID: O20040514000512
Entity NameBlack Canyon Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811419708
PECOS PAC ID: 8123393071
Enrollment ID: O20171003007502

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. Elmer G Dodge Jr 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
Elmer G Dodge Jr, FNP
Po Box 44267,
Boise, ID 83711-0267

Ph: (208) 286-0666		Elmer G Dodge Jr, FNP
9858 W State St,
Star, ID 83669-5210

Ph: (208) 286-0666

Reviews and Comments


Nurse Practitioner Nurses in Star, ID

Mrs. Erica Jo Wright, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10542 W Stonecrop Dr, Star, ID 83669
Phone: 208-830-1368    
Sherry Lynn Stanton, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9858 W State St, Star, ID 83669
Phone: 208-286-9471    Fax: 208-286-0565
Kayla Marie Woods, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N Lithodora Ave, Star, ID 83669
Phone: 559-356-6696    

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.