Savarra Marie Mantzor, MD in Boise, ID

Savarra Marie Mantzor, MD is a medicare enrolled "Pediatrics" physician in Boise, Idaho. Her current practice location is 8610 W Overland Rd, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (089) 548-7112.

Savarra Marie Mantzor is licensed to practice in Idaho (license number M-15442) 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 1164702049.

Contact Information

	Savarra Marie Mantzor, MD
	8610 W Overland Rd, Boise, ID 83709-1645
	(089) 548-7112
	(208) 375-2217

Map and Direction

Physician's Profile

Full Name	Savarra Marie Mantzor
Gender	Female
Speciality	Pediatrics
Location	8610 W Overland Rd, 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: 1164702049
Provider Enumeration Date: 08/23/2011
Last Update Date: 12/15/2023

Medicare PECOS Information:

PECOS PAC ID: 5294957882
Enrollment ID: I20201211002168

Medical Identifiers

Medical identifiers for Savarra Marie Mantzor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164702049	NPI	-	NPPES
1164702049	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD455508 (Pennsylvania)	Secondary
208000000X	Pediatrics	M-15442 (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. Savarra Marie Mantzor allows following entities to bill medicare on her behalf.

Entity Name	Full Circle Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841490075 PECOS PAC ID: 6709986797 Enrollment ID: O20070924000618

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. Savarra Marie Mantzor 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
Savarra Marie Mantzor, MD 777 N Raymond St, Boise, ID 83704-9251 Ph: (208) 514-2500	Savarra Marie Mantzor, MD 8610 W Overland Rd, Boise, ID 83709-1645 Ph: (089) 548-7112

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

Savarra Marie Mantzor, MD - Medicare Pediatrics in Boise, ID