Xavier Al-mateen, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Boise, Idaho. His current practice location is
6348 W Emerald St, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 302-0900.
Xavier Al-mateen 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 1033738505.
Physician's Profile
| Full Name | Xavier Al-mateen |
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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 | 6348 W Emerald St, 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: 1033738505
- Provider Enumeration Date: 04/14/2020
- Last Update Date: 05/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 1557784907
- Enrollment ID: I20240605003948
Medical Identifiers
Medical identifiers for Xavier Al-mateen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033738505 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | M-17735 (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. Xavier Al-mateen 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 |
|---|
Xavier Al-mateen,
Po Box 190930,
Boise, ID 83719-0930
Ph: (208) 367-5170 | Xavier Al-mateen,
6348 W Emerald St,
Boise, ID 83704-8732
Ph: (208) 302-0900 |
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