Dr Dwaine Anthony Tesnohlidek, MD - Medicare General Surgery in Fruitland, ID

Dr Dwaine Anthony Tesnohlidek, MD is a medicare enrolled "Surgery" physician in Fruitland, Idaho. He went to University Of Washington School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice St Lukes Clinic-treasure Valley Llc, St Lukes Clinic-treasure Valley Llc and his current practice location is 1210 Nw 16th St, Fruitland, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 452-8600.

Dr Dwaine Anthony Tesnohlidek is licensed to practice in Idaho (license number M6508) 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 1437240009.

Contact Information

Dr Dwaine Anthony Tesnohlidek, MD
1210 Nw 16th St,
Fruitland, ID 83619-2202
(208) 452-8600
Not Available



Physician's Profile

Full NameDr Dwaine Anthony Tesnohlidek
GenderMale
SpecialityGeneral Surgery
Experience35 Years
Location1210 Nw 16th St, Fruitland, 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:
  • Dr Dwaine Anthony Tesnohlidek attended and graduated from University Of Washington School Of Medicine in 1989
  NPI Data:
  • NPI Number: 1437240009
  • Provider Enumeration Date: 09/27/2006
  • Last Update Date: 09/18/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 1355485061
  • Enrollment ID: I20100218000762

Medical Identifiers

Medical identifiers for Dr Dwaine Anthony Tesnohlidek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437240009NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery MD18758 (Oregon)Secondary
208600000XSurgery M6508 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Nampa Medical CenterNampa, IDHospital
St Luke's Regional Medical CenterBoise, IDHospital
Saint Alphonsus Medical Center - Ontario, IncOntario, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Clinic-treasure Valley Llc4981878402968
St Lukes Clinic-treasure Valley Llc4981878402968

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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. Dr Dwaine Anthony Tesnohlidek allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Clinic-treasure Valley Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20120420000013

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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. Dr Dwaine Anthony Tesnohlidek 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
Dr Dwaine Anthony Tesnohlidek, MD
190 E Bannock St,
Boise, ID 83712-6241

Ph: (208) 381-2222
Dr Dwaine Anthony Tesnohlidek, MD
1210 Nw 16th St,
Fruitland, ID 83619-2202

Ph: (208) 452-8600

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Surgery Doctors in Fruitland, ID

Dr. Roman J Babij, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 1210 Nw 16th St, Fruitland, ID 83619
Phone: 208-452-8600    Fax: 208-452-8601

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