SAMUEL W. BECKSTEAD DO – NPI #1487041380
Ophthalmology

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

Health Care Provider Taxonomy Code for Ophthalmology

SAMUEL BECKSTEAD is an ophthalmologist located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1487041380 to SAMUEL BECKSTEAD on April 20, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207WX0200X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery

The NPI profile was previously updated about 6 years ago on Nov 05, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAMUEL BECKSTEAD below.

NPI Profile for
SAMUEL W. BECKSTEAD

NPI Number
1487041380
Enumeration Date

(more than 11 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SAMUEL W. BECKSTEAD
Credentials
DO
Primary location
2100 PROVIDENCE WAY
IDAHO FALLS, ID 83404-4951
Phone: (208) 529-6600 Fax: (208) 529-6602
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Nov 05, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207WX0200X
- Ophthalmology / Ophthalmic Plastic and Reconstructive Surgery (Primary)		 ID O-1389
390200000X
- Student in an Organized Health Care Education/Training Program
207W00000X
- Ophthalmology		 PA OS020090

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SAMUEL BECKSTEAD is affiliated with the following medical group(s):
  • HOSPITAL
    • BINGHAM MEMORIAL HOSPITAL
      98 POPLAR STREET
      BLACKFOOT, ID 83221
    • MOUNTAIN VIEW HOSPITAL
      1485 PARKWAY DRIVE
      BLACKFOOT, ID 83221
    • PORTNEUF MEDICAL CENTER
      777 HOSPITAL WAY
      POCATELLO, ID 83201

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