Mr Michael Chippolla, LCSW ACADC is a medicare enrolled "Social Worker - Clinical" provider in Boise, Idaho. His current practice location is
4477 W Emerald St, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 713-5250.
Mr Michael Chippolla is licensed to practice in Idaho (license number LCSW35126) 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 1679969976.
Healthcare Provider's Profile
| Full Name | Mr Michael Chippolla |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 4477 W Emerald St, Boise, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Michael Chippolla attended and graduated from in
NPI Data:
- NPI Number: 1679969976
- Provider Enumeration Date: 04/13/2015
- Last Update Date: 03/17/2017
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Michael Chippolla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679969976 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACADC-778 (Idaho) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW35126 (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. Mr Michael Chippolla 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 Address | Practice Location Address |
|---|
Mr Michael Chippolla, LCSW ACADC
4477 W Emerald St,
Boise, ID 83706-2000
Ph: (208) 713-5250 | Mr Michael Chippolla, LCSW ACADC
4477 W Emerald St,
Boise, ID 83706-2000
Ph: (208) 713-5250 |
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