Dr Sumiko Joan Hegstad, MD - Medicare Plastic And Reconstructive Surgery in Boise, ID

Dr Sumiko Joan Hegstad, MD is a medicare enrolled "Plastic Surgery" physician in Boise, Idaho. She went to University Of Louisville School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. She is a member of the group practice St Lukes Clinic-treasure Valley Llc and her current practice location is 222 N 2nd St Ste 102, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 344-1281.

Dr Sumiko Joan Hegstad is licensed to practice in Idaho (license number M6778) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306870761.

Contact Information

Dr Sumiko Joan Hegstad, MD
222 N 2nd St Ste 102,
Boise, ID 83702-6129
(208) 344-1281
(208) 344-1696

Map and Direction




Physician's Profile

Full NameDr Sumiko Joan Hegstad
GenderFemale
SpecialityPlastic And Reconstructive Surgery
Experience36 Years
Location222 N 2nd St Ste 102, Boise, Idaho
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sumiko Joan Hegstad attended and graduated from University Of Louisville School Of Medicine in 1988
  NPI Data:
  • NPI Number: 1306870761
  • Provider Enumeration Date: 07/10/2006
  • Last Update Date: 06/04/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3173703303
  • Enrollment ID: I20110204000939

Medical Identifiers

Medical identifiers for Dr Sumiko Joan Hegstad such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306870761NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery M6778 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Regional Medical CenterBoise, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Clinic-treasure Valley Llc4981878402991

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 Sumiko Joan Hegstad allows following entities to bill medicare on her behalf.
Entity NameSt Lukes Clinic-treasure Valley Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 Sumiko Joan Hegstad 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
Dr Sumiko Joan Hegstad, MD
222 N 2nd St Ste 102,
Boise, ID 83702-6129

Ph: (208) 344-1281
Dr Sumiko Joan Hegstad, MD
222 N 2nd St Ste 102,
Boise, ID 83702-6129

Ph: (208) 344-1281

Reviews and Comments


Plastic Surgery Doctors in Boise, ID

Dr. Jonathan D Kramer, M.D.
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 100 E Idaho St, Suite 301, Boise, ID 83712
Phone: 208-344-4900    Fax: 208-385-7811
Earl Anthony Gage, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 100 E Idaho Street, Suite 303, Boise, ID 83712
Phone: 314-251-4772    Fax: 314-251-5772
Mary Rose Fay Standlee, CSFA
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 305 E Jefferson St, Boise, ID 83712
Phone: 208-381-2222    
Dr. Dean Sorensen, M.D.
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 250 Bobwhite Ct, 275, Boise, ID 83706
Phone: 208-333-0200    Fax: 208-333-0399
Dinu Mistry Wolf, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 341 E Bannock St, Boise, ID 83712
Phone: 208-342-8180    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.