Elizabeth Ashley Black, MD - Medicare Pediatrics in Boise, ID

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Elizabeth Ashley Black, MD is a medicare enrolled "Pediatrics - Pediatric Nephrology" physician in Boise, Idaho. Her current practice location is 305 E Jefferson St, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 381-7336.

Elizabeth Ashley Black is licensed to practice in Idaho (license number 2971396) 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 1043697113.

Contact Information

Elizabeth Ashley Black, MD
305 E Jefferson St,
Boise, ID 83712-6231
(208) 381-7336
(208) 381-7495

Map and Direction




Physician's Profile

Full NameElizabeth Ashley Black
GenderFemale
SpecialityPediatrics - Pediatric Nephrology
Location305 E Jefferson St, Boise, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043697113
  • Provider Enumeration Date: 04/28/2015
  • Last Update Date: 06/03/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7517212467
  • Enrollment ID: I20210818003484

Medical Identifiers

Medical identifiers for Elizabeth Ashley Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043697113NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080B0002XPediatrics - Obesity Medicine A151555 (California)Secondary
208000000XPediatrics A151555 (California)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2080P0210XPediatrics - Pediatric Nephrology A151555 (California)Secondary
2080P0210XPediatrics - Pediatric Nephrology 2971396 (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. Elizabeth Ashley Black allows following entities to bill medicare on her behalf.
Entity NameUcsf Pediatrics Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376614016
PECOS PAC ID: 6204749112
Enrollment ID: O20031106000823
Entity NameUniversity Of California San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897
Entity NameUcsf Medical Group Business Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477624104
PECOS PAC ID: 3779497870
Enrollment ID: O20040622001513
Entity NameCommunity Health Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952912420
PECOS PAC ID: 6608280268
Enrollment ID: O20210122001714

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. Elizabeth Ashley Black 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
Elizabeth Ashley Black, MD
190 E Bannock St,
Boise, ID 83712-6241

Ph: (208) 381-8866		Elizabeth Ashley Black, MD
305 E Jefferson St,
Boise, ID 83712-6231

Ph: (208) 381-7336

Reviews and Comments


Pediatrics Doctors in Boise, ID

Dr. Nathan D Meeker, M.D.
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Practice Location: 100 E Idaho St, Boise, ID 83712
Phone: 208-381-2782    Fax: 208-381-3172
Nicolas A Camilo, MD
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Medicare: May Accept Medicare Assignments
Practice Location: 100 E Idaho St., Boise, ID 83712
Phone: 208-381-2782    Fax: 208-381-3172
Heather Carew, M.D.
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Practice Location: 190 E Bannock St, Boise, ID 83712
Phone: 208-381-2645    
Dr. Frederick K Emge, MD
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Medicare: Medicare Enrolled
Practice Location: 100 E Idaho St, Suite 200, Boise, ID 83712
Phone: 208-381-7384    Fax: 208-381-7387
Annis Wakelee Vargas, M.D.
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Medicare: Medicare Enrolled
Practice Location: 1072 N Liberty Street, Ste 203, Boise, ID 83701
Phone: 208-302-5800    Fax: 208-302-5855
Mrs. Lisa S Labor, MD
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Medicare: Medicare Enrolled
Practice Location: 8610 W Overland Rd, Boise, ID 83709
Phone: 208-954-8711    Fax: 208-375-2217
Mikelle E Mikesell, DO
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Medicare: Medicare Enrolled
Practice Location: 8610 W Overland Rd, Boise, ID 83709
Phone: 208-954-8711    

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).

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