Marc Papantonio, DC is a medicare enrolled "Nurse Practitioner - Family" provider in Boise, Idaho. His current practice location is
6051 W Emerald St, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 302-5150.
Marc Papantonio is licensed to practice in Idaho (license number 5271243) 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 1770847469.
Healthcare Provider's Profile
| Full Name | Marc Papantonio |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 6051 W Emerald St, 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: 1770847469
- Provider Enumeration Date: 06/27/2012
- Last Update Date: 03/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 1456873256
- Enrollment ID: I20250321001080
Medical Identifiers
Medical identifiers for Marc Papantonio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770847469 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111NS0005X | Chiropractor - Sports Physician | 32327 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5271243 (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. Marc Papantonio allows following entities to bill medicare on his behalf.
| Provider Name | Saint Alphonsus Regional Medical Center Inc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1649357716
PECOS PAC ID: 3476462359
Enrollment ID: O20040204001036 |
|---|
| Provider Name | Saint Alphonsus Medical Center- Ontario Inc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1093034159
PECOS PAC ID: 1456488899
Enrollment ID: O20120229000024 |
|---|
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. Marc Papantonio 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 |
|---|
Marc Papantonio, DC
Po Box 190930,
Boise, ID 83719-0930
Ph: (208) 367-5170 | Marc Papantonio, DC
6051 W Emerald St,
Boise, ID 83704-8969
Ph: (208) 302-5150 |
Reviews and Comments