- Medicare in Boise, ID

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is a medicare enrolled "Clinic/center - Health Service" provider in Boise, Idaho. Their current practice location is 2301 N 36th St, Boise, Idaho. You can reach out to their office (for appointments etc.) via phone at (208) 571-8418.

is licensed to practice in Idaho (license number CHIA-1056) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1689709735.

Contact Information

2301 N 36th St,
Boise, ID 83703-5207
(208) 571-8418
(208) 344-5277

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityClinic/center - Health Service
Location2301 N 36th St, Boise, Idaho
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689709735
  • Provider Enumeration Date: 02/22/2007
  • Last Update Date: 02/04/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 4082797766
  • Enrollment ID: O20080219000417

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689709735NPI-NPPES
1497750350OtherWANPI-INDIVIDUAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 3119 (Washington)Secondary
261QH0100XClinic/center - Health Service CHIA-1056 (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. acts as a billing entity for following providers:
Provider NameMick Tiegs
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1497750350
PECOS PAC ID: 6901989680
Enrollment ID: I20080219000412
Provider NameRian Torres
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1407900327
PECOS PAC ID: 2860525185
Enrollment ID: I20100805001165
Provider NameWilliam K Davis
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1144398389
PECOS PAC ID: 3577789320
Enrollment ID: I20140731000064

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. 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

2301 N 36th St,
Boise, ID 83703-5207

Ph: (208) 571-8418
2301 N 36th St,
Boise, ID 83703-5207

Ph: (208) 571-8418

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.