Ms Laurel Kate Defoggi, FNP-BC - Medicare Nurse Practitioner in Eagle, ID

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Ms Laurel Kate Defoggi, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Eagle, Idaho. Her current practice location is 951 E Plaza Dr Ste 110, Eagle, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 274-9580.

Ms Laurel Kate Defoggi is licensed to practice in Idaho (license number 79174) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356195200.

Contact Information

Ms Laurel Kate Defoggi, FNP-BC
951 E Plaza Dr Ste 110,
Eagle, ID 83616-6567
(208) 274-9580
Not Available

Map and Direction




Provider's Profile

Full NameMs Laurel Kate Defoggi
GenderFemale
SpecialityNurse Practitioner - Family
Location951 E Plaza Dr Ste 110, Eagle, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356195200
  • Provider Enumeration Date: 04/16/2024
  • Last Update Date: 04/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0648713891
  • Enrollment ID: I20240617002564

Medical Identifiers

Medical identifiers for Ms Laurel Kate Defoggi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356195200NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 79174 (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. Ms Laurel Kate Defoggi allows following entities to bill medicare on her behalf.
Entity NameTreasure Valley Metabolic Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285271635
PECOS PAC ID: 6305276064
Enrollment ID: O20200501002457

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. Ms Laurel Kate Defoggi 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
Ms Laurel Kate Defoggi, FNP-BC
951 E Plaza Dr Ste 110,
Eagle, ID 83616-6567

Ph: (208) 274-9580		Ms Laurel Kate Defoggi, FNP-BC
951 E Plaza Dr Ste 110,
Eagle, ID 83616-6567

Ph: (208) 274-9580

Reviews and Comments


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Evita Kvista,
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Phone: 208-412-9622    
Ms. Beth Elaine Landis, NP
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Bethany Joy Mello, NP-C
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Christopher Alan Anthony Nicholas,
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Practice Location: 3101 E State St, Eagle, ID 83616
Phone: 208-473-3100    
Jessica Watson, NP
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Claudia Parcells, NP
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Practice Location: 951 E Plaza Dr, Suite 170, Eagle, ID 83616
Phone: 208-939-3505    Fax: 208-939-3507
Dr. Jennifer Paulson, DNP, FNP-BC
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Medicare: Not Enrolled in Medicare
Practice Location: 2976 E State St Ste 210, Eagle, ID 83616
Phone: 208-607-3738    Fax: 208-369-9274

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.