| Dr Mark J Boerner, MD | |
|
111 W Main St Ste 200, Boise, ID 83702-7308 | |
| (208) 344-3220 | |
| (208) 344-0461 |
| Full Name | Dr Mark J Boerner |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 37 Years |
| Location | 111 W Main St Ste 200, Boise, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003819459 | NPI | - | NPPES |
| 180038677 | Other | ID | RAILROAD MEDICARE |
| 804243800 | Medicaid | ID | |
| J5164 | Other | ID | BLUE CROSS |
| 000010002554 | Other | ID | REGENCE BLUE SHIELD |
| 1317920001 | Other | ID | DMERC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | M7206 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Idaho Eyelid And Facial Plastic Surgery Pllc | 3375457906 | 2 |
| Entity Name | Idaho Eyelid & Facial Plastic Surgery Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255401436 PECOS PAC ID: 3375457906 Enrollment ID: O20050405000613 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark J Boerner, MD 111 W Main St, Ste 200, Boise, ID 83702-7308 Ph: (208) 344-3220 | Dr Mark J Boerner, MD 111 W Main St Ste 200, Boise, ID 83702-7308 Ph: (208) 344-3220 |
James R Swartley, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 222 N 2nd St, Suite 215, Boise, ID 83702 Phone: 208-342-2706 | |
Landon Kelly Grange, M.D. Ophthalmology Medicare: May Accept Medicare Assignments Practice Location: 5680 W Gage St, Boise, ID 83706 Phone: 208-773-3937 Fax: 208-377-3937 | |
Ms. Denise Elizabeth Capps, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5680 W Gage St, Boise, ID 83706 Phone: 208-377-3937 | |
Wyatt Messenger, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 360 E Mallard Dr Ste 110, Boise, ID 83706 Phone: 206-336-8700 | |
Dr. Chad Harman Jackson, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 111 W Main St Ste 200, Boise, ID 83702 Phone: 208-344-3220 Fax: 208-344-0461 | |
Matthew D Neale, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8955 W Hackamore Dr, Boise, ID 83709 Phone: 208-344-7944 Fax: 208-639-9360 |