Eden Hospice At The Inland Northwest, Llc is a medicare enrolled "Hospice Care, Community Based" provider in Ponderay, Idaho. Their current practice location is
204 Triangle Dr, Ponderay, Idaho. You can reach out to their office (for appointments etc.) via phone at
(208) 255-1640.
Eden Hospice At The Inland Northwest, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Eden Hospice At The Inland Northwest, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1245962471.
Healthcare Provider's Profile
Full Name | Eden Hospice At The Inland Northwest, Llc |
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Type | Facility |
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Speciality | Hospice Care, Community Based |
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Location | 204 Triangle Dr, Ponderay, Idaho |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245962471
- Provider Enumeration Date: 06/27/2022
- Last Update Date: 06/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 2567844202
- Enrollment ID: O20220728000136
Medical Identifiers
Medical identifiers for Eden Hospice At The Inland Northwest, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245962471 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
251G00000X | Hospice Care, Community Based | (* (Not Available)) | Primary |
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. Eden Hospice At The Inland Northwest, Llc 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 |
Eden Hospice At The Inland Northwest, Llc 4601 Ne 77th Ave Ste 300, Vancouver, WA 98662-6736 Ph: (360) 892-6628 | Eden Hospice At The Inland Northwest, Llc 204 Triangle Dr, Ponderay, ID 83852-9729 Ph: (208) 255-1640 |
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