Nicholas Blickenstaff, MD, MS in Boise, ID

Nicholas Blickenstaff, MD, MS is a medicare enrolled "Dermatology" physician in Boise, Idaho. He went to University Of Utah School Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Ada Dermatology, P.a. and his current practice location is 6454 W Emerald St, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 377-0820.

Nicholas Blickenstaff is licensed to practice in Idaho (license number M15699) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1437544582.

Contact Information

	Nicholas Blickenstaff, MD, MS
	6454 W Emerald St, Boise, ID 83704-8734
	(208) 377-0820
	(208) 375-8046

Map and Direction

Physician's Profile

Full Name	Nicholas Blickenstaff
Gender	Male
Speciality	Dermatology
Experience	5 Years
Location	6454 W Emerald St, Boise, Idaho
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicholas Blickenstaff attended and graduated from University Of Utah School Of Medicine in 2019

NPI Data:

NPI Number: 1437544582
Provider Enumeration Date: 04/04/2015
Last Update Date: 04/25/2022

Medicare PECOS Information:

PECOS PAC ID: 2466748397
Enrollment ID: I20210811002368

Medical Identifiers

Medical identifiers for Nicholas Blickenstaff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437544582	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	036.150002 (Illinois)	Secondary
207N00000X	Dermatology	M15699 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ada Dermatology, P.a.	5395833586	4

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. Nicholas Blickenstaff allows following entities to bill medicare on his behalf.

Entity Name	Ada Dermatology, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952483299 PECOS PAC ID: 5395833586 Enrollment ID: O20071126000177

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. Nicholas Blickenstaff 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
Nicholas Blickenstaff, MD, MS 7123 W Archer Ave, Chicago, IL 60638-2203 Ph: (708) 634-4602	Nicholas Blickenstaff, MD, MS 6454 W Emerald St, Boise, ID 83704-8734 Ph: (208) 377-0820

Reviews and Comments

Dermatology Doctors in Boise, ID

Dr. James H Stewart, PHD, MD Dermatology Medicare: Medicare Enrolled Practice Location: 7733 W Emerald St, Boise, ID 83704 Phone: 208-376-3220 Fax: 208-322-7370
Lindie K Borton, M.D Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3811 N Garden Center Way, Boise, ID 83703 Phone: 208-287-5525 Fax: 208-287-5530
Marnie R Ririe, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1636 Hadley Ave., Boise, ID 83709 Phone: 208-258-2078 Fax: 208-258-2079
Dr. Joseph Patrick Fetzek, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 6111 W Overland Rd, Boise, ID 83709 Phone: 208-377-0450
Mrs. Jhon R Hall, MD Dermatology Medicare: Medicare Enrolled Practice Location: 13176 W Persimmon Lane, Boise, ID 83713 Phone: 208-939-8640 Fax: 208-939-1892
Dr. Richard Dale Blickenstaff, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 6454 W Emerald Street, Boise, ID 83704 Phone: 208-377-0820
Dr. Leon William Nowierski, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 100 Warm Springs Ave, Suite A, Boise, ID 83712 Phone: 208-343-5910 Fax: 208-384-8562

Nicholas Blickenstaff, MD, MS - Medicare Dermatology in Boise, ID