St Luke's Humphreys Diabetes Center is a medicare enrolled "Registered Nurse - Diabetes Educator" provider in Boise, Idaho. Their current practice location is
1226 W River St, Boise, Idaho. You can reach out to their office (for appointments etc.) via phone at
(208) 331-1155.
St Luke's Humphreys Diabetes Center is licensed to practice in Idaho (license number 03) and it also participates in the medicare program. St Luke's Humphreys Diabetes Center
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 1003295452.
Healthcare Provider's Profile
Full Name | St Luke's Humphreys Diabetes Center |
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Type | Facility |
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Speciality | Registered Nurse - Diabetes Educator |
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Location | 1226 W River St, Boise, Idaho |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003295452
- Provider Enumeration Date: 05/19/2015
- Last Update Date: 06/22/2016
Medicare PECOS Information:
- PECOS PAC ID: 5799692604
- Enrollment ID: O20200223000001
Medical Identifiers
Medical identifiers for St Luke's Humphreys Diabetes Center such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003295452 | NPI | - | NPPES |
1003295452 | Medicaid | ID | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 03 (Idaho) | Secondary |
163WD0400X | Registered Nurse - Diabetes Educator | 03 (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. St Luke's Humphreys Diabetes Center 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 |
St Luke's Humphreys Diabetes Center 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222 | St Luke's Humphreys Diabetes Center 1226 W River St, Boise, ID 83702-7049 Ph: (208) 331-1155 |
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