Rilee Wong Mickelsen, PA-C - Medicare Physician Assistant in Boise, ID

Rilee Wong Mickelsen, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Boise, Idaho. Her current practice location is 1072 N Liberty St Ste 201, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 302-2400.

Rilee Wong Mickelsen is licensed to practice in Idaho (license number 8061671) 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 1770346835.

Contact Information

Rilee Wong Mickelsen, PA-C
1072 N Liberty St Ste 201,
Boise, ID 83704-8708
(208) 302-2400
(208) 302-2455

Map and Direction




Provider's Profile

Full NameRilee Wong Mickelsen
GenderFemale
SpecialityPhysician Assistant - Surgical
Location1072 N Liberty St Ste 201, Boise, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770346835
  • Provider Enumeration Date: 02/01/2024
  • Last Update Date: 09/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6204274905
  • Enrollment ID: I20240401001030

Medical Identifiers

Medical identifiers for Rilee Wong Mickelsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770346835NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical MA065365 (Pennsylvania)Secondary
363AS0400XPhysician Assistant - Surgical MA065365 (Pennsylvania)Secondary
363AS0400XPhysician Assistant - Surgical 8061671 (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. Rilee Wong Mickelsen 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
Rilee Wong Mickelsen, PA-C
Po Box 190930,
Boise, ID 83719-0930

Ph: (208) 367-5170
Rilee Wong Mickelsen, PA-C
1072 N Liberty St Ste 201,
Boise, ID 83704-8708

Ph: (208) 302-2400

Reviews and Comments


Physician Assistant Nurses in Boise, ID

Brittany Guthrie, PA-C
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Phone: 208-302-4400    Fax: 208-302-4255
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Phone: 208-342-8200    Fax: 208-342-8202
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Phone: 208-367-5050    Fax: 208-367-5151
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Practice Location: 100 E Warm Springs Ave Ste B, Boise, ID 83712
Phone: 208-381-6930    Fax: 208-381-6931
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Phone: 208-302-5950    Fax: 208-302-5955
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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.