Grayson Blom, DC in Boise, ID - Medicare Chiropractor Provider

Grayson Blom, DC is a medicare enrolled "Chiropractor" provider in Boise, Idaho. His current practice location is 5975 W. Overland Rd., Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 559-0541.

Grayson Blom is licensed to practice in Idaho (license number CHIA-1297) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316112428.

Contact Information

	Grayson Blom, DC
	5975 W. Overland Rd., Boise, ID 83709
	(208) 559-0541
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Grayson Blom
Gender	Male
Speciality	Chiropractor
Location	5975 W. Overland Rd., Boise, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316112428
Provider Enumeration Date: 04/29/2008
Last Update Date: 11/09/2016

Medicare PECOS Information:

PECOS PAC ID: 2961532932
Enrollment ID: I20100617000865

Medical Identifiers

Medical identifiers for Grayson Blom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316112428	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	CHIA-1297 (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. Grayson Blom allows following entities to bill medicare on his behalf.

Provider Name	Upper Cervical Clinics Of Idaho
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1316113368 PECOS PAC ID: 1052441029 Enrollment ID: O20100617000861

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. Grayson Blom 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
Grayson Blom, DC 4869 W Malad St, Ste D, Boise, ID 83705-8844 Ph: (208) 559-0541	Grayson Blom, DC 5975 W. Overland Rd., Boise, ID 83709 Ph: (208) 559-0541

Reviews and Comments

Chiropractor in Boise, ID

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Dr. Benjamin Webb, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 13909 W Wainwright Dr, Boise, ID 83713 Phone: 208-322-7900
Dr. Gary D Musgrave, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3314 N. Cole Rd., Boise, ID 83704 Phone: 208-377-9930 Fax: 208-377-9932
Dr. Luke A. Willett, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3040 N Five Mile Rd, Suite C, Boise, ID 83713 Phone: 208-321-8484 Fax: 208-321-5084
Kyle Blevins, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 405 S 8th St Ste 290, Boise, ID 83702 Phone: 208-342-7136

Grayson Blom, DC - Medicare Chiropractor in Boise, ID