Hospice of Eastern Idaho, Inc
A Medicare group practice based in Idaho Falls, ID: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8628087145), with 3 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8628087145
- Provider type
- Part A Provider - Hospice, Part B Supplier - Clinic/Group Practice
- Enrolled in
- ID
- Enrollments
- 2
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20240531001632 | ID | Part B Supplier - Clinic/Group Practice | 1407859721 |
| O20060411000809 | ID | Part A Provider - Hospice | 1407859721 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Hospice of Eastern Idaho, Inc.
- Community Based Hospice Care Agency
- Idaho Falls, ID
- NPI 1407859721
-
Hospice of Eastern Idaho, Inc.
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Idaho Falls, ID
- NPI 1699593376
Practice locations
- Idaho Falls, ID2
Clinicians 3
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (2).
-
Scott A Taylor, M.D.
- Internal Medicine Physician
- Idaho Falls, ID
- NPI 1861542326
-
Melissa Jane Williams, LCSW
- Clinical Social Worker
- Idaho Falls, ID
- NPI 1093930596
-
Patricia Jo Young, CNP
- Gerontology Nurse Practitioner
- Idaho Falls, ID
- NPI 1790473692
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.