Addison Broc Wooldridge, PA-C - Physician Assistant in Boise, ID

Addison Broc Wooldridge, PA-C is a Physician Assistant based in Boise, Idaho. Addison Broc Wooldridge is licensed to practice in Idaho (license number PA-2810) and his current practice location is 9475 W Tillamook Dr # A, Boise, Idaho. He can be reached at his office (for appointments etc.) via phone at (661) 205-1177.

NPI number for Addison Broc Wooldridge is 1407691835 and his current mailing address is 9475 W Tillamook Dr # A, Boise, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407691835.

Contact Information

Addison Broc Wooldridge, PA-C
9475 W Tillamook Dr # A,
Boise, ID 83709-6173
(661) 205-1177
Not Available

Map and Direction




Provider's Profile

Full NameAddison Broc Wooldridge
GenderMale
SpecialityPhysician Assistant
Location9475 W Tillamook Dr # A, Boise, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1407691835
  • Provider Enumeration Date: 06/27/2024
  • Last Update Date: 06/27/2024

Medical Identifiers

Medical identifiers for Addison Broc Wooldridge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407691835NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA-2810 (Idaho)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. Addison Broc Wooldridge is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Addison Broc Wooldridge, PA-C
9475 W Tillamook Dr # A,
Boise, ID 83709-6173

Ph: (661) 205-1177
Addison Broc Wooldridge, PA-C
9475 W Tillamook Dr # A,
Boise, ID 83709-6173

Ph: (661) 205-1177

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.