Dr Mitchell Jackson Moffitt, MD - Medicare Pediatrics in Twin Falls, ID

Dr Mitchell Jackson Moffitt, MD is a medicare enrolled "Pediatrics" physician in Twin Falls, Idaho. His current practice location is 775 Pole Line Rd W, Suite 111, Twin Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 814-8000.

Dr Mitchell Jackson Moffitt is licensed to practice in Idaho (license number M-10017) 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 1093895229.

Contact Information

Dr Mitchell Jackson Moffitt, MD
775 Pole Line Rd W, Suite 111,
Twin Falls, ID 83301-5814
(208) 814-8000
(208) 733-9402



Physician's Profile

Full NameDr Mitchell Jackson Moffitt
GenderMale
SpecialityPediatrics
Location775 Pole Line Rd W, Twin Falls, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093895229
  • Provider Enumeration Date: 10/16/2006
  • Last Update Date: 01/07/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2466548268
  • Enrollment ID: I20071009000851

Medical Identifiers

Medical identifiers for Dr Mitchell Jackson Moffitt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093895229NPI-NPPES
807839500MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics M-10017 (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 Mitchell Jackson Moffitt allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790718229
PECOS PAC ID: 1052217478
Enrollment ID: O20031208000899

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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 Mitchell Jackson Moffitt 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 Mitchell Jackson Moffitt, MD
Po Box 587,
Twin Falls, ID 83303-0587

Ph: (208) 814-7400
Dr Mitchell Jackson Moffitt, MD
775 Pole Line Rd W, Suite 111,
Twin Falls, ID 83301-5814

Ph: (208) 814-8000

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Pediatrics Doctors in Twin Falls, ID

Dr. Austin Kline, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301
Phone: 208-814-1000    
Ms. Nancy Mann, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1502 Locust St N Ste 700, Twin Falls, ID 83301
Phone: 208-595-5095    
Ronald Miller, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 630 Addison Ave W, Suite 100, Twin Falls, ID 83301
Phone: 208-733-4343    Fax: 208-734-9941
Jared L Hansen, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 706 N College Rd Ste C, Twin Falls, ID 83301
Phone: 208-391-5952    Fax: 877-409-2920
Dr. Christopher Adam Eyre, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1502 Locust St N Ste 700, Twin Falls, ID 83301
Phone: 208-595-5095    Fax: 208-595-5258
Kathryn G Reese, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2550 Addison Ave E, Suite B, Twin Falls, ID 83301
Phone: 208-814-7700    Fax: 208-933-9301

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