Jerad H Knight, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Paul, Idaho. His current practice location is
554 W Sunnyslope Dr, Paul, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 534-1702.
Jerad H Knight is licensed to practice in Idaho (license number TEMP64373) 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 1316729742.
Provider's Profile
| Full Name | Jerad H Knight |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 554 W Sunnyslope Dr, Paul, 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: 1316729742
- Provider Enumeration Date: 10/19/2023
- Last Update Date: 03/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 9133665771
- Enrollment ID: I20240719000891
Medical Identifiers
Medical identifiers for Jerad H Knight such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316729742 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 64373 (Idaho) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | TEMP64373 (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. Jerad H Knight allows following entities to bill medicare on his behalf.
| Entity Name | Urgent Care Of Idaho Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538578687
PECOS PAC ID: 8527381136
Enrollment ID: O20150106000297 |
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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. Jerad H Knight 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 |
|---|
Jerad H Knight, FNP-C
2732 Rocky Rd,
Burley, ID 83318-3330
Ph: (208) 534-1702 | Jerad H Knight, FNP-C
554 W Sunnyslope Dr,
Paul, ID 83347-8791
Ph: (208) 534-1702 |
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