Donraphael Wynn, MD - Medicare Neurology in Boise, ID

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Donraphael Wynn, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Boise, Idaho. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Saint Alphonsus Regional Medical Center Inc and his current practice location is 1072 N Liberty St, Ste 303, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 302-4200.

Donraphael Wynn is licensed to practice in Idaho (license number M-14403) 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 1396188751.

Contact Information

Donraphael Wynn, MD
1072 N Liberty St, Ste 303,
Boise, ID 83704
(208) 302-4200
(208) 302-4255

Map and Direction




Physician's Profile

Full NameDonraphael Wynn
GenderMale
SpecialityNeurology
Experience11 Years
Location1072 N Liberty St, Boise, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Donraphael Wynn attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 2013
  NPI Data:
  • NPI Number: 1396188751
  • Provider Enumeration Date: 04/16/2013
  • Last Update Date: 10/24/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1951627124
  • Enrollment ID: I20181213001134

Medical Identifiers

Medical identifiers for Donraphael Wynn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396188751NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 9164199-1205 (Utah)Secondary
207WX0109XOphthalmology - Neuro-ophthalmology 9164199-1205 (Utah)Secondary
2084N0400XPsychiatry & Neurology - Neurology M-14403 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Alphonsus Regional Medical CenterBoise, IDHospital
Saint Alphonsus Medical Center - NampaNampa, IDHospital
St Luke's Regional Medical CenterBoise, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Saint Alphonsus Regional Medical Center Inc3476462359533

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. Donraphael Wynn allows following entities to bill medicare on his behalf.
Entity NameSaint Alphonsus Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649357716
PECOS PAC ID: 3476462359
Enrollment ID: O20040204001036

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. Donraphael Wynn 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
Donraphael Wynn, MD
3340 E Goldstone Way,
Meridian, ID 83642

Ph: (208) 302-4200		Donraphael Wynn, MD
1072 N Liberty St, Ste 303,
Boise, ID 83704

Ph: (208) 302-4200

Reviews and Comments


Psychiatry & Neurology Doctors in Boise, ID

Dr. Michael E. Estess, M. D.
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John Carr, PMHNP
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Eric A Simmons, DO
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Dr. Gary Falk, M.D.
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Karen Porth, M.D.
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Phone: 208-367-2800    Fax: 208-367-7111
Ramon R Quijano, MD
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Practice Location: 444 W Fort St., Fl 2, Boise, ID 83702
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Xavier Al-mateen,
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Practice Location: 6348 W Emerald St, Boise, ID 83704
Phone: 208-302-0900    Fax: 208-302-0955

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).

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