Vision Quest Medical Center, Pa is a medicare enrolled "Ophthalmology" provider in Boise, Idaho. Their current practice location is
5680 W Gage St, Boise, Idaho. You can reach out to their office (for appointments etc.) via phone at
(208) 377-3937.
Vision Quest Medical Center, Pa is licensed to practice in Idaho (license number O-0860) and it also participates in the medicare program. Vision Quest Medical Center, Pa
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 1356542542.
Healthcare Provider's Profile
| Full Name | Vision Quest Medical Center, Pa |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 5680 W Gage St, 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: 1356542542
- Provider Enumeration Date: 05/29/2007
- Last Update Date: 04/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 5294622965
- Enrollment ID: O20040228000233
Medical Identifiers
Medical identifiers for Vision Quest Medical Center, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356542542 | NPI | - | NPPES |
| 000160500 | Medicaid | ID | |
| 807072200 | Medicaid | ID | |
| 807072300 | Medicaid | ID | |
| 0857720001 | Other | ID | DMERC GROUP NO |
| 806834700 | Medicaid | ID | |
| 001553800 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | ODP-100002 (Idaho) | Secondary |
| 152W00000X | Optometrist | ODP-100417 (Idaho) | Secondary |
| 207W00000X | Ophthalmology | O-0860 (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.
Vision Quest Medical Center, Pa acts as a billing entity for following providers:
| Provider Name | Gary R Pabalis |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1396740262
PECOS PAC ID: 5890682033
Enrollment ID: I20040302000692 |
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| Provider Name | Jacob Adam Mong |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1346535481
PECOS PAC ID: 3072824762
Enrollment ID: I20150622002594 |
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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. Vision Quest Medical Center, Pa 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 |
|---|
Vision Quest Medical Center, Pa
5680 W Gage St,
Boise, ID 83706-1326
Ph: (208) 377-3937 | Vision Quest Medical Center, Pa
5680 W Gage St,
Boise, ID 83706-1326
Ph: (208) 377-3937 |
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