Mrs Lynnette Michelle Khandaker, APRN-NP - Medicare Nurse Practitioner in Boise, ID

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Mrs Lynnette Michelle Khandaker, APRN-NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Boise, Idaho. Her current practice location is 10112 W Overland Rd, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (087) 803-9002.

Mrs Lynnette Michelle Khandaker is licensed to practice in Idaho (license number 60046) 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 1396292421.

Contact Information

Mrs Lynnette Michelle Khandaker, APRN-NP
10112 W Overland Rd,
Boise, ID 83709-1428
(087) 803-9002
(208) 375-2882

Map and Direction




Provider's Profile

Full NameMrs Lynnette Michelle Khandaker
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location10112 W Overland Rd, Boise, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396292421
  • Provider Enumeration Date: 09/07/2016
  • Last Update Date: 07/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8123307105
  • Enrollment ID: I20190625001979

Medical Identifiers

Medical identifiers for Mrs Lynnette Michelle Khandaker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396292421NPI-NPPES
1477920270MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WG0000XRegistered Nurse - General Practice RN201537 (Arizona)Secondary
363L00000XNurse Practitioner NP60046 (Idaho)Secondary
363LA2200XNurse Practitioner - Adult Health 60046 (Idaho)Secondary
363LG0600XNurse Practitioner - Gerontology 60046 (Idaho)Secondary
363LP2300XNurse Practitioner - Primary Care 60046 (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. Mrs Lynnette Michelle Khandaker allows following entities to bill medicare on her behalf.
Entity NameHuman Supports Of Idaho
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922340124
PECOS PAC ID: 0244485894
Enrollment ID: O20130305000118

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. Mrs Lynnette Michelle Khandaker 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
Mrs Lynnette Michelle Khandaker, APRN-NP
10112 W Overland Rd,
Boise, ID 83709-1428

Ph: (208) 780-3900		Mrs Lynnette Michelle Khandaker, APRN-NP
10112 W Overland Rd,
Boise, ID 83709-1428

Ph: (087) 803-9002

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.