Michael Brian Lynn, PAC is a medicare enrolled "Physician Assistant" physician in Boise, Idaho. His current practice location is
100 E Idaho St Ste 316, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 381-9350.
Michael Brian Lynn is licensed to practice in Idaho (license number 7361377) 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 1669774469.
Physician's Profile
Full Name | Michael Brian Lynn |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 100 E Idaho St Ste 316, Boise, Idaho |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669774469
- Provider Enumeration Date: 11/30/2010
- Last Update Date: 12/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 2264615160
- Enrollment ID: I20110331000147
Medical Identifiers
Medical identifiers for Michael Brian Lynn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669774469 | NPI | - | NPPES |
251879554 | Other | PA | TAX ID |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | MA054496 (Pennsylvania) | Secondary |
363A00000X | Physician Assistant | 7361377 (Idaho) | Primary |
363A00000X | Physician Assistant | MA054496 (Pennsylvania) | Secondary |
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. Michael Brian Lynn 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 |
Michael Brian Lynn, PAC 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Michael Brian Lynn, PAC 100 E Idaho St Ste 316, Boise, ID 83712-6269 Ph: (208) 381-9350 |
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