Dr Gregory Daniel Kostur, MD - Medicare Pediatrics in Pocatello, ID

Dr Gregory Daniel Kostur, MD is a medicare enrolled "Pediatrics" physician in Pocatello, Idaho. His current practice location is 500 S 11th Ave Ste 204, Pocatello, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 232-3355.

Dr Gregory Daniel Kostur is licensed to practice in Idaho (license number M-14706) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1447316799.

Contact Information

Dr Gregory Daniel Kostur, MD
500 S 11th Ave Ste 204,
Pocatello, ID 83201-4878
(208) 232-3355
(855) 230-7350



Physician's Profile

Full NameDr Gregory Daniel Kostur
GenderMale
SpecialityPediatrics
Location500 S 11th Ave Ste 204, Pocatello, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447316799
  • Provider Enumeration Date: 12/29/2006
  • Last Update Date: 01/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6305985086
  • Enrollment ID: I20190610001760

Medical Identifiers

Medical identifiers for Dr Gregory Daniel Kostur such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447316799NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics N3122 (Texas)Secondary
208000000XPediatrics M-14706 (Idaho)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. Dr Gregory Daniel Kostur allows following entities to bill medicare on his behalf.
Entity NameHealth West Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033595541
PECOS PAC ID: 4981500931
Enrollment ID: O20031210000461

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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 Gregory Daniel Kostur 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 Gregory Daniel Kostur, MD
500 S 11th Ave Ste 400,
Pocatello, ID 83201-4880

Ph: (208) 232-7862
Dr Gregory Daniel Kostur, MD
500 S 11th Ave Ste 204,
Pocatello, ID 83201-4878

Ph: (208) 232-3355

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Pediatrics Doctors in Pocatello, ID

Dr. Don E Mcinturff, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1151 Hospital Way, Building F, Pocatello, ID 83201
Phone: 208-232-1443    Fax: 208-239-3434
Christian Carter Yost, D.O.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 950 Hospital Way Ste A, Pocatello, ID 83201
Phone: 208-233-7337    Fax: 208-235-1839
Dr. Roger W. Boe, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 405 W Whitman St, Pocatello, ID 83204
Phone: 208-233-6833    
Alison Marie Mcinturff, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1151 Hospital Way Bldg F, Pocatello, ID 83201
Phone: 208-232-1443    
Andrea Lewis Swenson,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1110 Call Creek Dr Ste 7, Pocatello, ID 83201
Phone: 208-233-4660    Fax: 208-233-4262
Dr. Matthew Ayers Murdoch, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1151 Hospital Way, Building F, Pocatello, ID 83201
Phone: 208-232-1443    Fax: 208-239-3434

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