Alan Jake Poulter, MD - Medicare Interventional Pain Management in Idaho Falls, ID

Alan Jake Poulter, MD is a medicare enrolled "Anesthesiology" physician in Idaho Falls, Idaho. He went to University Of Utah School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Mountain View Hospital Llc and his current practice location is 2375 E Sunnyside Rd, Ste J, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 522-7246.

Alan Jake Poulter is licensed to practice in New Mexico (license number 2004-0463) 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 1912046913.

Contact Information

Alan Jake Poulter, MD
2375 E Sunnyside Rd, Ste J,
Idaho Falls, ID 83404-8280
(208) 522-7246
(208) 529-2620



Physician's Profile

Full NameAlan Jake Poulter
GenderMale
SpecialityInterventional Pain Management
Experience20 Years
Location2375 E Sunnyside Rd, Idaho Falls, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Alan Jake Poulter attended and graduated from University Of Utah School Of Medicine in 2004
  NPI Data:
  • NPI Number: 1912046913
  • Provider Enumeration Date: 02/06/2007
  • Last Update Date: 10/15/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6406909332
  • Enrollment ID: I20090724000543

Medical Identifiers

Medical identifiers for Alan Jake Poulter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912046913NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 2004-0463 (New Mexico)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Encompass Health Home Health Of Eastern IdahoIdaho falls, IDHome health agency
Mountain View HospitalIdaho falls, IDHospital
Portneuf Medical CenterPocatello, IDHospital
Lost Rivers Medical CenterArco, IDHospital
Eastern Idaho Regional Medical CenterIdaho falls, IDHospital
Bingham Memorial HospitalBlackfoot, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mountain View Hospital Llc4486562774176

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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. Alan Jake Poulter allows following entities to bill medicare on his behalf.
Entity NameMountain View Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669462362
PECOS PAC ID: 4486562774
Enrollment ID: O20040527001343

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Entity NameBmh Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255539193
PECOS PAC ID: 8426149758
Enrollment ID: O20071018000897

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Entity NameNorth Canyon Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609046671
PECOS PAC ID: 0941371439
Enrollment ID: O20090409000304

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Entity NamePain & Spine Consultants
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902366834
PECOS PAC ID: 5395072946
Enrollment ID: O20190806001323

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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. Alan Jake Poulter 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
Alan Jake Poulter, MD
2375 E Sunnyside Rd, Ste J,
Idaho Falls, ID 83404-8280

Ph: (208) 522-7246
Alan Jake Poulter, MD
2375 E Sunnyside Rd, Ste J,
Idaho Falls, ID 83404-8280

Ph: (208) 522-7246

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Anesthesiology Doctors in Idaho Falls, ID

Dr. Don Weber, M.D.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 3100 Channing Way, Idaho Falls, ID 83404
Phone: 208-529-6269    
Dr. Marcus Murphy, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Channing Way, Idaho Falls, ID 83404
Phone: 208-529-6111    
Jay M Tingey, M.D
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Channing Way, Idaho Falls, ID 83404
Phone: 208-529-6269    
Dr. Christian D Monson, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Channing Way, Idaho Falls, ID 83404
Phone: 208-529-6775    
Daric J Russell, DO
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 3385 Potomac Way, Idaho Falls, ID 83404
Phone: 208-522-7246    Fax: 208-529-2620
Dr. Daniel Philip Wiser Smith, D.O.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 3385 Potomac Way, Idaho Falls, ID 83404
Phone: 208-522-7246    
Dr. Jason Michael Poston, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 2375 E Sunnyside Rd, Suite 'j', Idaho Falls, ID 83404
Phone: 208-522-7246    Fax: 208-529-2620

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