John P Goeddertz, CRNA in Boise, ID - Medicare Certified Registered Nurse Anesthetist (crna)

John P Goeddertz, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Boise, Idaho. He graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice St Alphonsus Professional Medical Services Llc and his current practice location is 1055 N Curtis Rd, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 367-2163.

John P Goeddertz is licensed to practice in Idaho (license number RNA-694) 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 1659424125.

Contact Information

	John P Goeddertz, CRNA
	1055 N Curtis Rd, Boise, ID 83706-1309
	(208) 367-2163
	Not Available

Map and Direction

Provider's Profile

Full Name	John P Goeddertz
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	24 Years
Location	1055 N Curtis Rd, Boise, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

John P Goeddertz graduated from nursing school in 2000

NPI Data:

NPI Number: 1659424125
Provider Enumeration Date: 01/19/2007
Last Update Date: 10/09/2023

Medicare PECOS Information:

PECOS PAC ID: 8921025735
Enrollment ID: I20070910000754

Medical Identifiers

Medical identifiers for John P Goeddertz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659424125	NPI	-	NPPES
12462	Medicaid	ND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R26650 (North Dakota)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	RNA-694 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Alphonsus Regional Medical Center	Boise, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Alphonsus Professional Medical Services Llc	7214849751	64

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. John P Goeddertz allows following entities to bill medicare on his behalf.

Entity Name	Boise Anesthesia, P A
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487602298 PECOS PAC ID: 8426960642 Enrollment ID: O20031105000132

Entity Name	St Alphonsus Professional Medical Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386677524 PECOS PAC ID: 7214849751 Enrollment ID: O20040205001184

Entity Name	Anesthesiology Consultants Of Treasure Valley Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124066063 PECOS PAC ID: 4981661196 Enrollment ID: O20041220000096

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. John P Goeddertz 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
John P Goeddertz, CRNA Po Box 190930, Boise, ID 83719-0930 Ph: (208) 302-9342	John P Goeddertz, CRNA 1055 N Curtis Rd, Boise, ID 83706-1309 Ph: (208) 367-2163

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Boise, ID

Allison Elisabeth May, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222
Mr. Douglas Neurath, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 111 W State St, Boise, ID 83702 Phone: 208-336-0895
Jordan B Wolff, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 111 W State St, Boise, ID 83702 Phone: 208-336-0895 Fax: 208-338-1796
Nathan S Call, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222
Ashton Hope Mieritz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2121
Kenneth Clark Stratton Jr., CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2559
Diana San Juan Shimko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-6416

John P Goeddertz, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Boise, ID