Timothy J Ulrich, MD - Medicare Pediatrics in Coeur D Alene, ID

Timothy J Ulrich, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Coeur D Alene, Idaho. His current practice location is 2003 Kootenai Health Way, Coeur D Alene, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 625-5187.

Timothy J Ulrich is licensed to practice in Idaho (license number M-13706) 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 1619263563.

Contact Information

Timothy J Ulrich, MD
2003 Kootenai Health Way,
Coeur D Alene, ID 83814-6051
(208) 625-5187
(208) 625-6892



Physician's Profile

Full NameTimothy J Ulrich
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location2003 Kootenai Health Way, Coeur D Alene, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619263563
  • Provider Enumeration Date: 06/20/2011
  • Last Update Date: 05/05/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1254587041
  • Enrollment ID: I20170530001588

Medical Identifiers

Medical identifiers for Timothy J Ulrich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619263563NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine M-13706 (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. Timothy J Ulrich 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. Timothy J Ulrich 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
Timothy J Ulrich, MD
2003 Kootenai Health Way,
Coeur D Alene, ID 83814-6051

Ph: (208) 625-5187
Timothy J Ulrich, MD
2003 Kootenai Health Way,
Coeur D Alene, ID 83814-6051

Ph: (208) 625-5187

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Pediatrics Doctors in Coeur D Alene, ID

Dr. Thomas R Rau, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814
Phone: 208-667-0585    Fax: 208-667-0876
Terence Earl Neff, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814
Phone: 208-667-0585    Fax: 208-667-0876
Dr. Brook Yuknis Lang, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814
Phone: 208-625-5185    Fax: 208-625-5892
Dr. Mary Jo Shaw, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814
Phone: 208-667-0585    Fax: 208-667-0876
Dr. Beth Ann Martin, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814
Phone: 208-625-6446    Fax: 208-625-5931
Dr. Cheri Kathleen Savage,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814
Phone: 208-667-0585    Fax: 208-667-0876
Dr. Rene Chalom, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814
Phone: 208-625-5930    Fax: 208-625-5931

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