Emily Boozalis, MD in Meridian, ID - Medicare Dermatology

Emily Boozalis, MD is a medicare enrolled "Dermatology" physician in Meridian, Idaho. Her current practice location is 1618 S Millenium Way Ste 100, Meridian, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 884-3376.

Emily Boozalis is licensed to practice in Idaho (license number M17000) 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 1760927990.

Contact Information

	Emily Boozalis, MD
	1618 S Millenium Way Ste 100, Meridian, ID 83642-6457
	(208) 884-3376
	(208) 884-0858

Map and Direction

Physician's Profile

Full Name	Emily Boozalis
Gender	Female
Speciality	Dermatology
Location	1618 S Millenium Way Ste 100, Meridian, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760927990
Provider Enumeration Date: 12/25/2016
Last Update Date: 09/19/2023

Medicare PECOS Information:

PECOS PAC ID: 0840655296
Enrollment ID: I20230508002076

Medical Identifiers

Medical identifiers for Emily Boozalis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760927990	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	M17000 (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. Emily Boozalis allows following entities to bill medicare on her behalf.

Entity Name	Ada West Dermatology, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518973338 PECOS PAC ID: 1153341532 Enrollment ID: O20051130000393

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. Emily Boozalis 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
Emily Boozalis, MD 1618 S Millenium Way Ste 100, Meridian, ID 83642-6457 Ph: (208) 884-3376	Emily Boozalis, MD 1618 S Millenium Way Ste 100, Meridian, ID 83642-6457 Ph: (208) 884-3376

Reviews and Comments

Dermatology Doctors in Meridian, ID

Maura Jane Holcomb, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1618 S Millenium Way Ste 100, Meridian, ID 83642 Phone: 208-884-3376 Fax: 208-884-0858
Elizabeth A Swanson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1618 S Millenium Way Ste 100, Meridian, ID 83642 Phone: 208-884-3376 Fax: 208-884-0858
Dr. Richard Scott Thomas, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4664 N Penngrove Way Ste 100, Meridian, ID 83646 Phone: 208-898-7467 Fax: 208-398-2120
Mark Noble Schwendiman, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1618 S Millenium Way Ste 100, Meridian, ID 83642 Phone: 208-884-3376
Whitney Marque Vinson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1618 S Millenium Way Ste 100, Meridian, ID 83642 Phone: 208-884-3376 Fax: 208-884-0858
Dr. Jennifer L Scott, MD, PHD Dermatology Medicare: Medicare Enrolled Practice Location: 1618 S Millenium Way Ste 100, Meridian, ID 83642 Phone: 208-884-3376 Fax: 208-884-0858
Ryan Bruce Thorpe, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1618 S Millenium Way Ste 100, Meridian, ID 83642 Phone: 208-884-3376 Fax: 208-884-0858

Emily Boozalis, MD - Medicare Dermatology in Meridian, ID