Kordell Alan Koepnick, PA - Medicare Physician Assistant in Boise, ID

Kordell Alan Koepnick, PA is a medicare enrolled "Physician Assistant" in Boise, Idaho. His current practice location is 500 S 8th St, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (855) 255-1750.

Kordell Alan Koepnick is licensed to practice in Idaho (license number PA-2450) 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 1770289621.

Contact Information

Kordell Alan Koepnick, PA
500 S 8th St,
Boise, ID 83702-7107
(855) 255-1750
(855) 255-0905

Map and Direction




Provider's Profile

Full NameKordell Alan Koepnick
GenderMale
SpecialityPhysician Assistant
Location500 S 8th St, Boise, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770289621
  • Provider Enumeration Date: 02/02/2023
  • Last Update Date: 09/27/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1355713637
  • Enrollment ID: I20230215000140

Medical Identifiers

Medical identifiers for Kordell Alan Koepnick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770289621NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA6140460 (Washington)Secondary
363A00000XPhysician Assistant PA219548 (Oregon)Secondary
363A00000XPhysician Assistant PA-2450 (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. Kordell Alan Koepnick 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 AddressPractice Location Address
Kordell Alan Koepnick, PA
11504 Paintbrush Ln,
Pocatello, ID 83202-5077

Ph: (208) 312-7630
Kordell Alan Koepnick, PA
500 S 8th St,
Boise, ID 83702-7107

Ph: (855) 255-1750

Reviews and Comments


Physician Assistant Nurses in Boise, ID

Brittany Guthrie, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1072 N Liberty Street, Ste 303, Boise, ID 83704
Phone: 208-302-4400    Fax: 208-302-4255
Claire Magnolo, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 301 W Myrtle St, Boise, ID 83702
Phone: 208-342-8200    Fax: 208-342-8202
Polina Kokoulina, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 900 N Liberty St, Ste 101, Boise, ID 83704
Phone: 208-367-5050    Fax: 208-367-5151
Natalie Marie Hague, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 100 E Warm Springs Ave Ste B, Boise, ID 83712
Phone: 208-381-6930    Fax: 208-381-6931
Micah Ray Tobin, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 10583 W Lake Hazel Rd, Boise, ID 83709
Phone: 208-302-5950    Fax: 208-302-5955
Jason H. Mcbride, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-3131    
Patrick B Mccabe, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1188 W University Dr, Boise, ID 83706
Phone: 208-336-8250    Fax: 208-345-9514

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.