Suzanne Moore Wilbrecht, CNM is a medicare enrolled "Advanced Practice Midwife" in Rexburg, Idaho. Her current practice location is
37 S 2nd E Ste 200, Rexburg, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 356-0234.
Suzanne Moore Wilbrecht is licensed to practice in Washington (license number AP61139097) 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 1861090219.
Provider's Profile
| Full Name | Suzanne Moore Wilbrecht |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 37 S 2nd E Ste 200, Rexburg, 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: 1861090219
- Provider Enumeration Date: 10/16/2020
- Last Update Date: 10/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 1456768837
- Enrollment ID: I20211115001022
Medical Identifiers
Medical identifiers for Suzanne Moore Wilbrecht such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861090219 | NPI | - | NPPES |
| 66117 | Other | ID | IDAHO STATE BOARD OF NURSING |
| 2174476 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | RN61139099 (Washington) | Secondary |
| 367A00000X | Advanced Practice Midwife | 66117 (Idaho) | Secondary |
| 367A00000X | Advanced Practice Midwife | N361143735 (Washington) | Secondary |
| 367A00000X | Advanced Practice Midwife | AP61139097 (Washington) | 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. Suzanne Moore Wilbrecht allows following entities to bill medicare on her behalf.
| Entity Name | Madison Co Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134592017
PECOS PAC ID: 8123016367
Enrollment ID: O20040505000664 |
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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. Suzanne Moore Wilbrecht 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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Suzanne Moore Wilbrecht, CNM
37 S 2nd E Ste 200,
Rexburg, ID 83440-1906
Ph: (208) 356-0234 | Suzanne Moore Wilbrecht, CNM
37 S 2nd E Ste 200,
Rexburg, ID 83440-1906
Ph: (208) 356-0234 |
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