John Clark Mayberry, MD - Medicare General Surgery in Caldwell, ID

John Clark Mayberry, MD is a medicare enrolled "Surgery" physician in Caldwell, Idaho. He went to Oregon Health Sciences University School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Knd Development 59 Llc and his current practice location is 1906 Fairview Ave Ste 130, Caldwell, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 453-4260.

John Clark Mayberry is licensed to practice in Idaho (license number M-12108) 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 1528074077.

Contact Information

John Clark Mayberry, MD
1906 Fairview Ave Ste 130,
Caldwell, ID 83605-5433
(208) 453-4260
(844) 213-3678



Physician's Profile

Full NameJohn Clark Mayberry
GenderMale
SpecialityGeneral Surgery
Experience38 Years
Location1906 Fairview Ave Ste 130, Caldwell, 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:
  • John Clark Mayberry attended and graduated from Oregon Health Sciences University School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1528074077
  • Provider Enumeration Date: 08/01/2006
  • Last Update Date: 10/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1456247980
  • Enrollment ID: I20130911000108

Medical Identifiers

Medical identifiers for John Clark Mayberry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528074077NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0102XSurgery - Surgical Critical Care M-12108 (Idaho)Secondary
208600000XSurgery M-12108 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
West Valley Medical CenterCaldwell, IDHospital

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. John Clark Mayberry allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Clinic - Wood River Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972891604
PECOS PAC ID: 3173783818
Enrollment ID: O20120404000474

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Entity NameIdahosurgeons Net Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295237022
PECOS PAC ID: 4183975865
Enrollment ID: O20210825001480

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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. John Clark Mayberry 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
John Clark Mayberry, MD
Po Box 1074,
Caldwell, ID 83606-1074

Ph: (208) 453-4260
John Clark Mayberry, MD
1906 Fairview Ave Ste 130,
Caldwell, ID 83605-5433

Ph: (208) 453-4260

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Surgery Doctors in Caldwell, ID

Dr. Ryan W. Hardy, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 315 E Elm St Ste 350, Caldwell, ID 83605
Phone: 208-459-0028    
Dr. Daniel Paul Gay, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 404 Elm Street, Caldwell, ID 83605
Phone: 208-459-0028    Fax: 208-459-0380
Jon Moore Agee, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 404 E Elm St, Caldwell, ID 83605
Phone: 208-459-0028    Fax: 208-459-0380
Dr. Adam D. Bell, DO
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 315 E Elm St Ste 350, Caldwell, ID 83605
Phone: 208-459-0028    Fax: 208-504-4311
Dr. M Whitney Parnell, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 315 E Elm St Ste 350, Caldwell, ID 83605
Phone: 208-459-0028    

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