Issa Ntakarutimana, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Boise, Idaho. His current practice location is
500 W Bannock St, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 598-8442.
Issa Ntakarutimana is licensed to practice in Idaho (license number ) 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 1821681982.
Healthcare Provider's Profile
| Full Name | Issa Ntakarutimana |
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| Gender | Male |
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| Speciality | Counselor - Mental Health |
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| Location | 500 W Bannock St, Boise, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1821681982
- Provider Enumeration Date: 02/18/2021
- Last Update Date: 05/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 8022545854
- Enrollment ID: I20241218002613
Medical Identifiers
Medical identifiers for Issa Ntakarutimana such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821681982 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (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. Issa Ntakarutimana allows following entities to bill medicare on his behalf.
| Entity Name | Commonplace Wellness Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013745546
PECOS PAC ID: 7113454943
Enrollment ID: O20241218001372 |
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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. Issa Ntakarutimana 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 |
|---|
Issa Ntakarutimana, LCSW
205 S Bruce Ln,
Boise, ID 83712-7804
Ph: (208) 906-5878 | Issa Ntakarutimana, LCSW
500 W Bannock St,
Boise, ID 83702-5916
Ph: (208) 598-8442 |
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