Dr Leonardo B C Brasiliense, MD in Boise, ID - Medicare Neurological Surgery

Dr Leonardo B C Brasiliense, MD is a medicare enrolled "Neurological Surgery" physician in Boise, Idaho. His current practice location is 1072 N Liberty St Ste 200, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 302-4100.

Dr Leonardo B C Brasiliense is licensed to practice in Idaho (license number M-17423) 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 1689052664.

Contact Information

	Dr Leonardo B C Brasiliense, MD
	1072 N Liberty St Ste 200, Boise, ID 83704-8963
	(208) 302-4100
	(208) 302-4135

Map and Direction

Physician's Profile

Full Name	Dr Leonardo B C Brasiliense
Gender	Male
Speciality	Neurological Surgery
Location	1072 N Liberty St Ste 200, 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: 1689052664
Provider Enumeration Date: 05/11/2015
Last Update Date: 08/31/2023

Medicare PECOS Information:

PECOS PAC ID: 5799037487
Enrollment ID: I20231011003302

Medical Identifiers

Medical identifiers for Dr Leonardo B C Brasiliense such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689052664	NPI	-	NPPES
2213825	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207T00000X	Neurological Surgery	MD61270647 (Washington)	Secondary
207T00000X	Neurological Surgery	M-17423 (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. Dr Leonardo B C Brasiliense allows following entities to bill medicare on his behalf.

Entity Name	Saint Alphonsus Regional Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036

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. Dr Leonardo B C Brasiliense 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
Dr Leonardo B C Brasiliense, MD Po Box 190930, Boise, ID 83719-0930 Ph: (208) 236-7051	Dr Leonardo B C Brasiliense, MD 1072 N Liberty St Ste 200, Boise, ID 83704-8963 Ph: (208) 302-4100

Reviews and Comments

Neurological Surgery Doctors in Boise, ID

Kenneth M Little, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, 10th Floor, Boise, ID 83712 Phone: 208-381-5500 Fax: 208-381-2555
Dr. Nicholas T. Gamboa, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1072 N Liberty St Ste 200, Boise, ID 83704 Phone: 208-302-4100
Bruce J Andersen, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1072 N Liberty St, Suite 303, Boise, ID 83704 Phone: 208-367-4035 Fax: 208-367-7111
Roy Tyler Frizzell, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 222 N 2nd St, Ste 307, Boise, ID 83702 Phone: 208-344-1000 Fax: 208-344-1331
Michael V Hajjar, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 6140 W Curtisian Ave Ste 400, Boise, ID 83704 Phone: 208-327-5600 Fax: 208-327-5602
Michael L Henbest, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 6140 Curtisian Ave, Suite 400, Boise, ID 83704 Phone: 208-367-3500 Fax: 208-367-2968
Dr. Donald John Blaskiewicz, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St Fl 10, Boise, ID 83712 Phone: 208-381-5500

Dr Leonardo B C Brasiliense, MD - Medicare Neurological Surgery in Boise, ID