Walter Raymond Fairfax, MD - Medicare Sleep Medicine in Coeur D Alene, ID

Walter Raymond Fairfax, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Coeur D Alene, Idaho. He went to Oregon Health Sciences University School Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Sleep Medicine. He is a member of the group practice Kootenai Health Inc, Kootenai Health, Inc. and 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) 625-4000.

Walter Raymond Fairfax is licensed to practice in Idaho (license number M11477) 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 1124170170.

Contact Information

Walter Raymond Fairfax, MD
2003 Kootenai Health Way,
Coeur D Alene, ID 83814-6051
(208) 625-4000
Not Available



Physician's Profile

Full NameWalter Raymond Fairfax
GenderMale
SpecialitySleep Medicine
Experience45 Years
Location2003 Kootenai Health Way, Coeur D Alene, 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:
  • Walter Raymond Fairfax attended and graduated from Oregon Health Sciences University School Of Medicine in 1979
  NPI Data:
  • NPI Number: 1124170170
  • Provider Enumeration Date: 01/18/2007
  • Last Update Date: 10/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6103879333
  • Enrollment ID: I20111128000649

Medical Identifiers

Medical identifiers for Walter Raymond Fairfax such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124170170NPI-NPPES
105079600OtherWYMDCD PIN
0011135OtherMTMDCD PIN
000096870OtherMTBCBS PIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine M11477 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kootenai HealthCoeur d'alene, IDHospital
Northwest Specialty HospitalPost falls, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kootenai Health Inc1355792276291
Kootenai Health, Inc.4789641598331

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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. Walter Raymond Fairfax allows following entities to bill medicare on his behalf.
Entity NameKootenai Health, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235288655
PECOS PAC ID: 4789641598
Enrollment ID: O20041214000230

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Entity NameKootenai Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174661151
PECOS PAC ID: 1355792276
Enrollment ID: O20240111003252

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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. Walter Raymond Fairfax 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
Walter Raymond Fairfax, MD
2003 Kootenai Health Way,
Coeur D Alene, ID 83814-6051

Ph: (208) 625-4000
Walter Raymond Fairfax, MD
2003 Kootenai Health Way,
Coeur D Alene, ID 83814-6051

Ph: (208) 625-4000

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Internal Medicine Doctors in Coeur D Alene, ID

Diana Johns,
Critical Care Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2248 W Rosebud Ln, Coeur D Alene, ID 83814
Phone: 907-687-6248    
Marc Olav Granrud,
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814
Phone: 208-625-6900    Fax: 208-625-6710
Kevin Nathaniel Brown, MD
Critical Care Medicine
Medicare: Medicare Enrolled
Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814
Phone: 208-625-6900    Fax: 208-625-6910
Edward J Macinerney, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 700 W Ironwood Dr Ste 320, Coeur D Alene, ID 83814
Phone: 208-625-5250    Fax: 208-625-5251
Dr. Amanda Rose Liggett, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 700 W Ironwood Dr Ste 378, Coeur D Alene, ID 83814
Phone: 208-625-3555    Fax: 208-765-1494
Dr. Robert Scoggins, M.D., PH.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 700 W Ironwood Dr Ste 378, Coeur D Alene, ID 83814
Phone: 208-765-1252    Fax: 208-765-1494
Dr. Sean Tristan Lawrence Cook, D.O.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2120 W Ironwood Center Dr, Coeur D Alene, ID 83814
Phone: 208-625-6944    Fax: 208-625-6945

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