Justin Blaty, MD in Boise, ID - Medicare Pediatrics

Justin Blaty, MD is a medicare enrolled "Pediatrics - Sleep Medicine" physician in Boise, Idaho. His current practice location is 1075 N Curtis Rd Ste 201, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 302-3300.

Justin Blaty is licensed to practice in Idaho (license number M-17623) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548766835.

Contact Information

	Justin Blaty, MD
	1075 N Curtis Rd Ste 201, Boise, ID 83706-1350
	(208) 302-3300
	(208) 302-3355

Map and Direction

Physician's Profile

Full Name	Justin Blaty
Gender	Male
Speciality	Pediatrics - Sleep Medicine
Location	1075 N Curtis Rd Ste 201, Boise, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548766835
Provider Enumeration Date: 04/04/2018
Last Update Date: 05/19/2024

Medicare PECOS Information:

PECOS PAC ID: 8022355460
Enrollment ID: I20221027000197

Medical Identifiers

Medical identifiers for Justin Blaty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548766835	NPI	-	NPPES
1548766835	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080S0012X	Pediatrics - Sleep Medicine	77233 (Wisconsin)	Secondary
2080S0012X	Pediatrics - Sleep Medicine	MD61145727 (Washington)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2080S0012X	Pediatrics - Sleep Medicine	M-17623 (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. Justin Blaty allows following entities to bill medicare on his behalf.

Entity Name	Dean Health Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584

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. Justin Blaty 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
Justin Blaty, MD Po Box 190930, Boise, ID 83719-0930 Ph: (208) 367-5170	Justin Blaty, MD 1075 N Curtis Rd Ste 201, Boise, ID 83706-1350 Ph: (208) 302-3300

Reviews and Comments

Pediatrics Doctors in Boise, ID

Dr. Nathan D Meeker, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St, Boise, ID 83712 Phone: 208-381-2782 Fax: 208-381-3172
Nicolas A Camilo, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St., Boise, ID 83712 Phone: 208-381-2782 Fax: 208-381-3172
Heather Carew, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2645
Dr. Frederick K Emge, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St, Suite 200, Boise, ID 83712 Phone: 208-381-7384 Fax: 208-381-7387
Annis Wakelee Vargas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1072 N Liberty Street, Ste 203, Boise, ID 83701 Phone: 208-302-5800 Fax: 208-302-5855
Mrs. Lisa S Labor, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8610 W Overland Rd, Boise, ID 83709 Phone: 208-954-8711 Fax: 208-375-2217
Mikelle E Mikesell, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8610 W Overland Rd, Boise, ID 83709 Phone: 208-954-8711

Justin Blaty, MD - Medicare Pediatrics in Boise, ID