Hunter Anthony Goodenough, is a medicare enrolled "Nurse Practitioner" in Soda Springs, Idaho. His current practice location is
300 S 3rd W, Soda Springs, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 547-3341.
Hunter Anthony Goodenough is licensed to practice in Idaho (license number 66348) 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 1629705934.
Provider's Profile
| Full Name | Hunter Anthony Goodenough |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Location | 300 S 3rd W, Soda Springs, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629705934
- Provider Enumeration Date: 08/05/2022
- Last Update Date: 08/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 9537535281
- Enrollment ID: I20221020001013
Medical Identifiers
Medical identifiers for Hunter Anthony Goodenough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629705934 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 66348 (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. Hunter Anthony Goodenough allows following entities to bill medicare on his behalf.
| Entity Name | Caribou Medical Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942970272
PECOS PAC ID: 7618365701
Enrollment ID: O20220314000619 |
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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. Hunter Anthony Goodenough 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 |
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Hunter Anthony Goodenough,
340 Rose Ave,
Soda Springs, ID 83276-1250
Ph: (208) 589-3963 | Hunter Anthony Goodenough,
300 S 3rd W,
Soda Springs, ID 83276-1559
Ph: (208) 547-3341 |
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