Michael James Duplisea, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Boise, Idaho. His current practice location is
500 W Fort St # 111r, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 422-1314.
Michael James Duplisea is licensed to practice in * (Not Available) (license number ) 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 1326740879.
Physician's Profile
| Full Name | Michael James Duplisea |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 500 W Fort St # 111r, 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. |
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NPI Data:
- NPI Number: 1326740879
- Provider Enumeration Date: 03/20/2023
- Last Update Date: 04/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 0648635425
- Enrollment ID: I20230501000657
Medical Identifiers
Medical identifiers for Michael James Duplisea such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326740879 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | MRM-2226 (Idaho) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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 James Duplisea 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 James Duplisea, MD
500 W Fort St # 111r,
Boise, ID 83702-4501
Ph: (208) 422-1314 | Michael James Duplisea, MD
500 W Fort St # 111r,
Boise, ID 83702-4501
Ph: (208) 422-1314 |
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