Mr Mark Mitchell Roubidoux Ii, in Moscow, ID - Medicare Nurse Practitioner

Mr Mark Mitchell Roubidoux Ii, is a medicare enrolled "Nurse Practitioner - Acute Care" in Moscow, Idaho. He graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Gritman Medical Center Inc and his current practice location is 803 S Main St # 320, Moscow, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 883-1008.

Mr Mark Mitchell Roubidoux Ii is licensed to practice in Idaho (license number 39235) 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 1629685235.

Contact Information

	Mr Mark Mitchell Roubidoux Ii,
	803 S Main St # 320, Moscow, ID 83843-2695
	(208) 883-1008
	(208) 883-4563

Map and Direction

Provider's Profile

Full Name	Mr Mark Mitchell Roubidoux Ii
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	803 S Main St # 320, Moscow, 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:

Mr Mark Mitchell Roubidoux Ii graduated from nursing school in 2019

NPI Data:

NPI Number: 1629685235
Provider Enumeration Date: 09/28/2020
Last Update Date: 07/19/2024

Medicare PECOS Information:

PECOS PAC ID: 9638577828
Enrollment ID: I20220209002036

Medical Identifiers

Medical identifiers for Mr Mark Mitchell Roubidoux Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629685235	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	39235 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Gritman Medical Center	Moscow, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gritman Medical Center Inc	0941545784	20

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. Mr Mark Mitchell Roubidoux Ii allows following entities to bill medicare on his behalf.

Entity Name	Gritman Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477004828 PECOS PAC ID: 4981984390 Enrollment ID: O20161130002249

Entity Name	Gritman Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538634522 PECOS PAC ID: 0941545784 Enrollment ID: O20181221002296

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. Mr Mark Mitchell Roubidoux Ii 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
Mr Mark Mitchell Roubidoux Ii, 201 18th Ave, Lewiston, ID 83501-2768 Ph: (208) 305-3537	Mr Mark Mitchell Roubidoux Ii, 803 S Main St # 320, Moscow, ID 83843-2695 Ph: (208) 883-1008

Reviews and Comments

Nurse Practitioner Nurses in Moscow, ID

Joanne L Braun, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 623 South Main Street, M/med/qi, Sa-1, Moscow, ID 83843 Phone: 208-882-2011 Fax: 208-883-1853
Sara B Presol, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 213 N Main St, Moscow, ID 83843 Phone: 208-882-7565 Fax: 208-882-7567
Mrs. Deborah Wynne Medel, N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 213 N Main St, Moscow, ID 83843 Phone: 208-882-7565
Stephanie Nicole Voss, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 803 S Main St Ste 110, Moscow, ID 83843 Phone: 208-813-7519
Fawna Sunshine Huffman, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2301 W A St, Moscow, ID 83843 Phone: 208-883-1135 Fax: 208-892-0174
Clint Emmett, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 875 Perimeter Dr # Ms 3140, Moscow, ID 83844 Phone: 208-885-6716 Fax: 208-885-4354
Rachel Carnes, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 W A St Ste 101, Moscow, ID 83843 Phone: 208-882-0540

Mr Mark Mitchell Roubidoux Ii, - Medicare Nurse Practitioner in Moscow, ID