Tarah L Boerner, RD in Coeur D Alene, ID - Medicare Dietitian, Registered Provider

Tarah L Boerner, RD is a medicare enrolled "Dietitian, Registered" provider in Coeur D Alene, Idaho. Her current practice location is 2003 Lincoln Way, Coeur D Alene, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 666-2000.

Tarah L Boerner is licensed to practice in Idaho (license number D-539) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750574315.

Contact Information

	Tarah L Boerner, RD
	2003 Lincoln Way, Coeur D Alene, ID 83814-2611
	(208) 666-2000
	(208) 666-3963

Map and Direction

Healthcare Provider's Profile

Full Name	Tarah L Boerner
Gender	Female
Speciality	Dietitian, Registered
Location	2003 Lincoln Way, Coeur D Alene, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750574315
Provider Enumeration Date: 08/27/2007
Last Update Date: 04/02/2024

Medicare PECOS Information:

PECOS PAC ID: 0840384814
Enrollment ID: I20240404000862

Medical Identifiers

Medical identifiers for Tarah L Boerner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750574315	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	DI61488828 (Washington)	Secondary
133V00000X	Dietitian, Registered	D-539 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tarah L Boerner allows following entities to bill medicare on her behalf.

Provider Name	Providence Health & Services Washington
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453

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. Tarah L Boerner 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
Tarah L Boerner, RD Po Box 421, Liberty Lake, WA 99019-0421 Ph: (866) 747-2455	Tarah L Boerner, RD 2003 Lincoln Way, Coeur D Alene, ID 83814-2611 Ph: (208) 666-2000

Reviews and Comments

Dietitian, Registered in Coeur D Alene, ID

Scott Geyer, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000
Kimberley S Hall, DIETICIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-666-2000 Fax: 208-666-3963
Leah Joy, R.D., IBCLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1310 E Birch Ave, Coeur D Alene, ID 83814 Phone: 315-244-0677
Amanda Ament, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1090 W Park Pl, Coeur D Alene, ID 83814 Phone: 208-215-2005 Fax: 844-807-3782
Marsha A Jones, DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-666-2000 Fax: 208-666-3963
Katie J Adrian, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-666-2000 Fax: 208-666-3963
Sarah Renee Nave, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 980 W Ironwood Dr Ste 207, Coeur D Alene, ID 83814 Phone: 208-755-2804 Fax: 208-765-0277

Tarah L Boerner, RD - Medicare Dietitian in Coeur D Alene, ID