Landon Kelly Grange, MD in Boise, ID - Medicare Ophthalmology

Landon Kelly Grange, MD is a medicare enrolled "Ophthalmology" physician in Boise, Idaho. He went to University Of California, San Diego School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Ophthalmology. His current practice location is 5680 W Gage St, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 773-3937.

Landon Kelly Grange is licensed to practice in Idaho (license number M14219) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1043620255.

Contact Information

	Landon Kelly Grange, MD
	5680 W Gage St, Boise, ID 83706
	(208) 773-3937
	(208) 377-3937

Map and Direction

Physician's Profile

Full Name	Landon Kelly Grange
Gender	Male
Speciality	Ophthalmology
Experience	10 Years
Location	5680 W Gage St, Boise, Idaho
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Landon Kelly Grange attended and graduated from University Of California, San Diego School Of Medicine in 2014

NPI Data:

NPI Number: 1043620255
Provider Enumeration Date: 04/28/2014
Last Update Date: 07/26/2018

Medicare PECOS Information:

PECOS PAC ID: 7012209182
Enrollment ID: I20180716003161

Medical Identifiers

Medical identifiers for Landon Kelly Grange such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043620255	NPI	-	NPPES
1043620255	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	M14219 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Luke's Mccall	Mccall, ID	Hospital
West Valley Medical Center	Caldwell, ID	Hospital

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. Landon Kelly Grange allows following entities to bill medicare on his behalf.

Entity Name	Grange Ophthalmology Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285376558 PECOS PAC ID: 8527455377 Enrollment ID: O20220425001867

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. Landon Kelly Grange 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
Landon Kelly Grange, MD 3867 Miramar St, Apartment G, La Jolla, CA 92037-1312 Ph: (208) 559-6893	Landon Kelly Grange, MD 5680 W Gage St, Boise, ID 83706 Ph: (208) 773-3937

Reviews and Comments

Ophthalmology Doctors in Boise, ID

Dr. Mark J Boerner, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 111 W Main St Ste 200, Boise, ID 83702 Phone: 208-344-3220 Fax: 208-344-0461
James R Swartley, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 222 N 2nd St, Suite 215, Boise, ID 83702 Phone: 208-342-2706
Dr. Chad Harman Jackson, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 111 W Main St Ste 200, Boise, ID 83702 Phone: 208-344-3220 Fax: 208-344-0461
Daniel R Brooks, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 222 N 2nd St, Ste 215, Boise, ID 83702 Phone: 208-381-6910
John R Sonntag, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 5680 W Gage St, Boise, ID 83706 Phone: 208-377-3937 Fax: 208-377-9455
Ali Torab Parhiz, M.D Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 901 N Curtis Rd Ste 302, Boise, ID 83706 Phone: 812-424-2020

Landon Kelly Grange, MD - Medicare Ophthalmology in Boise, ID