Back 2 Life Medical Inc is a
Nurse Practitioner based in Meridian, Idaho. Back 2 Life Medical Inc is licensed to practice in Idaho (license number NP-1639A) and their current practice location is
2016 S Eagle Rd, Meridian, Idaho. It can be reached at their office (for appointments etc.) via phone at
(208) 887-6810.
NPI number for Back 2 Life Medical Inc is 1033562319 and their current mailing address is 2016 S Eagle Rd, Meridian, Idaho. Back 2 Life Medical Inc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1033562319.
Healthcare Provider's Profile
Full Name | Back 2 Life Medical Inc |
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Type | Facility |
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Speciality | Nurse Practitioner |
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Location | 2016 S Eagle Rd, Meridian, Idaho |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033562319
- Provider Enumeration Date: 07/21/2016
- Last Update Date: 07/21/2016
Medical Identifiers
Medical identifiers for Back 2 Life Medical Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033562319 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | CHIA-874 (Idaho) | Secondary |
363L00000X | Nurse Practitioner | NP-1639A (Idaho) | Primary |
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. Back 2 Life Medical Inc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Back 2 Life Medical Inc 2016 S Eagle Rd, Meridian, ID 83642-6707 Ph: (208) 887-6810 | Back 2 Life Medical Inc 2016 S Eagle Rd, Meridian, ID 83642-6707 Ph: (208) 887-6810 |
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