Solomon Petros, is a
Case Manager/care Coordinator based in Boise, Idaho. Solomon Petros is licensed to practice in * (Not Available) (license number ) and his current practice location is
4696 W Overland Rd Ste 182, Boise, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 421-6612.
NPI number for Solomon Petros is 1568339612 and his current mailing address is 4696 W Overland Rd Ste 182, Boise, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568339612.
Healthcare Provider's Profile
| Full Name | Solomon Petros |
|---|
| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
|---|
| Location | 4696 W Overland Rd Ste 182, Boise, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1568339612
- Provider Enumeration Date: 10/22/2025
- Last Update Date: 10/22/2025
Medical Identifiers
Medical identifiers for Solomon Petros such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568339612 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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. Solomon Petros is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Solomon Petros,
4696 W Overland Rd Ste 182,
Boise, ID 83705-2878
Ph: (208) 421-6612 | Solomon Petros,
4696 W Overland Rd Ste 182,
Boise, ID 83705-2878
Ph: (208) 421-6612 |
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