Kimberly R Tanabe, MD - Medicare Internal Medicine in Eagle, ID

Kimberly R Tanabe, MD is a medicare enrolled "Internal Medicine" physician in Eagle, Idaho. Her current practice location is 3101 E State St, Suite 2120, Eagle, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 473-3275.

Kimberly R Tanabe is licensed to practice in Idaho (license number M5831) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194773598.

Contact Information

Kimberly R Tanabe, MD
3101 E State St, Suite 2120,
Eagle, ID 83616-6232
(208) 473-3275
(208) 473-3276



Physician's Profile

Full NameKimberly R Tanabe
GenderFemale
SpecialityInternal Medicine
Location3101 E State St, Eagle, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194773598
  • Provider Enumeration Date: 05/05/2006
  • Last Update Date: 08/21/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 2860446820
  • Enrollment ID: I20050311000655

Medical Identifiers

Medical identifiers for Kimberly R Tanabe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194773598NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine M5831 (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. Kimberly R Tanabe allows following entities to bill medicare on her 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: O20111119000045

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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. Kimberly R Tanabe 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
Kimberly R Tanabe, MD
190 E Bannock St,
Boise, ID 83712-6241

Ph: (208) 706-8000
Kimberly R Tanabe, MD
3101 E State St, Suite 2120,
Eagle, ID 83616-6232

Ph: (208) 473-3275

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Internal Medicine Doctors in Eagle, ID

Joel C Swanson, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 323 E Riverside Dr, Suite 224, Samg Ehp Family Medicine, Eagle, ID 83616
Phone: 208-302-6000    Fax: 208-302-6055
Dr. Benjamin Ari Satterfield, MD, PHD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3101 E State St, Eagle, ID 83616
Phone: 208-322-1680    Fax: 208-322-1695
Dr. Marion Lynn Luque, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1139 E. Winding Creek Drive, Eagle, ID 83616
Phone: 208-938-8887    Fax: 208-938-8897
Dr. Robert John Haake, D.O.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 500 E Shore Dr, Suite 100, Eagle, ID 83616
Phone: 208-995-2802    Fax: 208-995-2804
Dr. Stan A Eisele, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 323 E Riverside Dr Ste 224, Eagle, ID 83616
Phone: 208-302-6000    Fax: 208-302-6055
Jordan David Smith, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 323 E Riverside Dr Ste 224, Eagle, ID 83616
Phone: 208-302-6000    Fax: 208-302-6055

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