Dr Steven Edward Pontickio, MD in Boise, ID - Medicare Internal Medicine

Dr Steven Edward Pontickio, MD is a medicare enrolled "Internal Medicine" physician in Boise, Idaho. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice St Lukes Clinic-treasure Valley Llc and his current practice location is 500 W Fort St # 111, Attn: Steven Pontickio, Md, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 422-1314.

Dr Steven Edward Pontickio is licensed to practice in Idaho (license number MRM1318) 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 1497097778.

Contact Information

	Dr Steven Edward Pontickio, MD
	500 W Fort St # 111, Attn: Steven Pontickio, Md, Boise, ID 83702-4501
	(208) 422-1314
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Steven Edward Pontickio
Gender	Male
Speciality	Internal Medicine
Experience	11 Years
Location	500 W Fort St # 111, Boise, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Steven Edward Pontickio graduated from medical school in 2013

NPI Data:

NPI Number: 1497097778
Provider Enumeration Date: 03/25/2013
Last Update Date: 08/04/2013

Medicare PECOS Information:

PECOS PAC ID: 0042536989
Enrollment ID: I20160813000007

Medical Identifiers

Medical identifiers for Dr Steven Edward Pontickio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497097778	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MRM1318 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Luke's Regional Medical Center	Boise, ID	Hospital
St Luke's Nampa Medical Center	Nampa, ID	Hospital
St Luke's Mccall	Mccall, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Lukes Clinic-treasure Valley Llc	4981878402	991

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. Dr Steven Edward Pontickio allows following entities to bill medicare on his behalf.

Entity Name	St Lukes Clinic-treasure Valley Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045

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. Dr Steven Edward Pontickio 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
Dr Steven Edward Pontickio, MD 500 W Fort St, # 111 Attn: Steven Pontickio, Md Boise,, Boise, ID 83702-4501 Ph: (208) 422-1314	Dr Steven Edward Pontickio, MD 500 W Fort St # 111, Attn: Steven Pontickio, Md, Boise, ID 83702-4501 Ph: (208) 422-1314

Reviews and Comments

Internal Medicine Doctors in Boise, ID

Dr. Jennifer A Hofstra, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Road, Boise, ID 83706 Phone: 757-446-8920 Fax: 757-446-5242
Dr. James Robert Polk, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-3104
Dr. Michael Frederic Krug, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-5015 Fax: 208-381-1873
Derrel V Walker, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1055 N Curtis Road, Boise, ID 83706 Phone: 208-367-7350 Fax: 208-367-3951
Dr. Janat E. O'donnell, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 500 W. Fort St., # 111, Boise, ID 83702 Phone: 208-422-1325 Fax: 208-422-1319
Carl L Durning, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6094 W Emerald St, Boise, ID 83704 Phone: 208-367-6575 Fax: 208-367-6597
Dr. Christopher J Goulet, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6259 W Emerald St, Boise, ID 83704 Phone: 208-489-1900 Fax: 208-375-5286

Dr Steven Edward Pontickio, MD - Medicare Internal Medicine in Boise, ID