Emily Jack, MD - Medicare Family Medicine in Boise, ID

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Emily Jack, MD is a medicare enrolled "Family Medicine" physician in Boise, Idaho. Her current practice location is 777 N Raymond St, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 514-2500.

Emily Jack is licensed to practice in Idaho (license number MRM-1826) 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 1275197691.

Contact Information

Emily Jack, MD
777 N Raymond St,
Boise, ID 83704-9251
(208) 514-2500
(208) 375-2217

Map and Direction




Physician's Profile

Full NameEmily Jack
GenderFemale
SpecialityFamily Medicine
Location777 N Raymond St, Boise, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275197691
  • Provider Enumeration Date: 05/01/2019
  • Last Update Date: 05/01/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6507193042
  • Enrollment ID: I20221115002877

Medical Identifiers

Medical identifiers for Emily Jack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275197691NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MRM-1826 (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 Jack allows following entities to bill medicare on her behalf.
Entity NameSt Anthony Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831169903
PECOS PAC ID: 3678568268
Enrollment ID: O20040414001635

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 Jack 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
Emily Jack, MD
777 N Raymond St,
Boise, ID 83704-9251

Ph: (208) 514-2500		Emily Jack, MD
777 N Raymond St,
Boise, ID 83704-9251

Ph: (208) 514-2500

Reviews and Comments


Family Medicine Doctors in Boise, ID

Dr. Maureen A Newman, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-302-5480    
Jessica A Evert, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-7350    
Tracy Adams, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 777 N Raymond St, Boise, ID 83704
Phone: 208-514-2500    
Sarah A Hershman, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 777 N Raymond St, Boise, ID 83704
Phone: 208-514-2500    Fax: 208-375-2217
Summer E Szumski, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 777 N Raymond St, Boise, ID 83704
Phone: 208-514-2500    Fax: 208-375-2217
Dr. Thornton E Bryan Iii, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 701 E Parkcenter Blvd, Boise, ID 83706
Phone: 208-381-6500    Fax: 208-381-6505
Irvin E Sackman Jr., MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 130 E Boise Ave, Boise, ID 83706
Phone: 208-345-4066    Fax: 208-345-4196

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.