Dr Shaun Stephen Summerill, MD in Pocatello, ID - Medicare Pediatrics

Dr Shaun Stephen Summerill, MD is a medicare enrolled "Pediatrics" physician in Pocatello, Idaho. His current practice location is 1151 Hospital Way, Bldg F, Pocatello, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 232-1443.

Dr Shaun Stephen Summerill is licensed to practice in Idaho (license number M-11365) 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 1497807044.

Contact Information

	Dr Shaun Stephen Summerill, MD
	1151 Hospital Way, Bldg F, Pocatello, ID 83201
	(208) 232-1443
	(208) 239-3434

Physician's Profile

Full Name	Dr Shaun Stephen Summerill
Gender	Male
Speciality	Pediatrics
Location	1151 Hospital Way, Pocatello, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497807044
Provider Enumeration Date: 01/16/2007
Last Update Date: 09/23/2016

Medicare PECOS Information:

PECOS PAC ID: 4284733122
Enrollment ID: I20150715001487

Medical Identifiers

Medical identifiers for Dr Shaun Stephen Summerill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497807044	NPI	-	NPPES
808342900	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	49001 (Wisconsin)	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	49001 (Wisconsin)	Secondary
208000000X	Pediatrics	M-11365 (Idaho)	Primary

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 Shaun Stephen Summerill 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 Address	Practice Location Address
Dr Shaun Stephen Summerill, MD 1151 Hospital Way, Bldg. F, Pocatello, ID 83201 Ph: (208) 232-1443	Dr Shaun Stephen Summerill, MD 1151 Hospital Way, Bldg F, Pocatello, ID 83201 Ph: (208) 232-1443

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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
Dr. Gregory Daniel Kostur, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 500 S 11th Ave Ste 204, Pocatello, ID 83201 Phone: 208-232-3355 Fax: 855-230-7350

Dr Shaun Stephen Summerill, MD - Medicare Pediatrics in Pocatello, ID