Ali Sup, DO - Medicare Family Medicine in Nampa, ID

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Ali Sup, DO is a medicare enrolled "Family Medicine" physician in Nampa, Idaho. Her current practice location is 3165 E Greenhurst Rd, Nampa, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 463-7300.

Ali Sup is licensed to practice in Idaho (license number O-1580) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427670157.

Contact Information

Ali Sup, DO
3165 E Greenhurst Rd,
Nampa, ID 83686-8655
(208) 463-7300
Not Available

Map and Direction




Physician's Profile

Full NameAli Sup
GenderFemale
SpecialityFamily Medicine
Location3165 E Greenhurst Rd, Nampa, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427670157
  • Provider Enumeration Date: 05/15/2020
  • Last Update Date: 08/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1052734571
  • Enrollment ID: I20230905000526

Medical Identifiers

Medical identifiers for Ali Sup such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427670157NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MRO-1938 (Idaho)Secondary
207Q00000XFamily Medicine O-1580 (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. Ali Sup allows following entities to bill medicare on her behalf.
Entity NameFull Circle Health, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841490075
PECOS PAC ID: 6709986797
Enrollment ID: O20070924000618
Entity NameSt Lukes Clinic-treasure Valley Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045

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. Ali Sup 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 AddressPractice Location Address
Ali Sup, DO
190 E Bannock St,
Boise, ID 83712-6241

Ph: (208) 381-8752		Ali Sup, DO
3165 E Greenhurst Rd,
Nampa, ID 83686-8655

Ph: (208) 463-7300

Reviews and Comments


Family Medicine Doctors in Nampa, ID

Ben Terry, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4400 E Flamingo Ave, Nampa, ID 83687
Phone: 208-288-4970    Fax: 208-288-4990
Dr. Julia Marie Jensen, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 223 16th Ave N, Nampa, ID 83687
Phone: 208-466-7869    Fax: 208-466-5359
Jason Johnston, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1820 Caldwell Blvd, Nampa, ID 83651
Phone: 208-466-6567    Fax: 208-466-7922
Stuart Austin Black Iii, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 223 16th Ave N, Nampa, ID 83687
Phone: 208-466-7869    Fax: 208-466-5359
Heidi Elizabeth Shields, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1150 N Sister Catherine Way, Nampa, ID 83687
Phone: 208-302-7000    Fax: 208-302-7055
Robert B Buxton, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1510 12th Ave Rd, Ste 200, Nampa, ID 83886
Phone: 208-302-6800    Fax: 208-302-6855
Dora Johnson, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 9850 W St Lukes Dr Ste 329, Nampa, ID 83687
Phone: 208-514-2509    Fax: 208-375-2217

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.