Allyson J Komori, DO - Medicare Internal Medicine in Boise, ID

Allyson J Komori, DO is a medicare enrolled "Internal Medicine" physician in Boise, Idaho. She went to Pacific Medical College and graduated in 2013 and has 11 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice St Lukes Clinic-treasure Valley Llc and her current practice location is 500 W Fort St # 111, Suite 202, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 695-3774.

Allyson J Komori is licensed to practice in Idaho (license number MRO1313) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679869473.

Contact Information

Allyson J Komori, DO
500 W Fort St # 111, Suite 202,
Boise, ID 83702-4501
(208) 695-3774
Not Available

Map and Direction




Physician's Profile

Full NameAllyson J Komori
GenderFemale
SpecialityInternal Medicine
Experience11 Years
Location500 W Fort St # 111, Boise, Idaho
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Allyson J Komori attended and graduated from Pacific Medical College in 2013
  NPI Data:
  • NPI Number: 1679869473
  • Provider Enumeration Date: 06/21/2011
  • Last Update Date: 07/22/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1456678200
  • Enrollment ID: I20160713002081

Medical Identifiers

Medical identifiers for Allyson J Komori such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679869473NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MRO1313 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Regional Medical CenterBoise, IDHospital
St Luke's Nampa Medical CenterNampa, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Clinic-treasure Valley Llc4981878402968

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. Allyson J Komori allows following entities to bill medicare on her behalf.
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. Allyson J Komori 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
Allyson J Komori, DO
500 W Fort St. #111,
Boise, ID 83702

Ph: () -
Allyson J Komori, DO
500 W Fort St # 111, Suite 202,
Boise, ID 83702-4501

Ph: (208) 695-3774

Reviews and Comments


Internal Medicine Doctors in Boise, ID

Dr. Jennifer A Hofstra, MD
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Phone: 757-446-8920    Fax: 757-446-5242
Dr. James Robert Polk, MD
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Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-3104    
Dr. Michael Frederic Krug, M.D.
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Practice Location: 500 W. Fort St, # 111, Boise, ID 83702
Phone: 208-422-1000    Fax: 208-422-1319
Derrel V Walker, M.D.
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Practice Location: 1055 N Curtis Road, Boise, ID 83706
Phone: 208-367-7350    Fax: 208-367-3951
Dr. Janat E. O'donnell, MD
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Medicare: Medicare Enrolled
Practice Location: 500 W. Fort St., # 111, Boise, ID 83702
Phone: 208-422-1325    Fax: 208-422-1319
Carl L Durning, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6094 W Emerald St, Boise, ID 83704
Phone: 208-367-6575    Fax: 208-367-6597
Dr. Christopher J Goulet, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6259 W Emerald St, Boise, ID 83704
Phone: 208-489-1900    Fax: 208-375-5286

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.