Maple Grove Eye Clinic is a medicare enrolled "Ophthalmology" provider in Boise, Idaho. Their current practice location is
8955 W Hackamore Dr, Boise, Idaho. You can reach out to their office (for appointments etc.) via phone at
(208) 344-7944.
Maple Grove Eye Clinic is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Maple Grove Eye Clinic
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1326550096.
Healthcare Provider's Profile
| Full Name | Maple Grove Eye Clinic |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 8955 W Hackamore Dr, Boise, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1326550096
- Provider Enumeration Date: 11/02/2017
- Last Update Date: 04/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 8820330707
- Enrollment ID: O20190424001799
Medical Identifiers
Medical identifiers for Maple Grove Eye Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326550096 | NPI | - | NPPES |
| 1942316054 | Medicaid | ID | |
| 1326302548 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Maple Grove Eye Clinic acts as a billing entity for following providers:
| Provider Name | Alan R Smith |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1942316054
PECOS PAC ID: 9739478835
Enrollment ID: I20160512001374 |
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| Provider Name | Joshua E Mcadams |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1326302548
PECOS PAC ID: 3779734272
Enrollment ID: I20171129001437 |
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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. Maple Grove Eye Clinic 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 |
|---|
Maple Grove Eye Clinic
8955 W Hackamore Dr,
Boise, ID 83709
Ph: (208) 344-7944 | Maple Grove Eye Clinic
8955 W Hackamore Dr,
Boise, ID 83709
Ph: (208) 344-7944 |
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