Gertjan Mulder, MD in Boise, ID - Medicare Family Medicine

Gertjan Mulder, MD is a medicare enrolled "Family Medicine" physician in Boise, Idaho. His current practice location is 3301 N Sawgrass Way, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 375-0862.

Gertjan Mulder is licensed to practice in Idaho (license number M4931) 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 1659336691.

Contact Information

	Gertjan Mulder, MD
	3301 N Sawgrass Way, Boise, ID 83704-4493
	(208) 375-0862
	(208) 375-2658

Map and Direction

Physician's Profile

Full Name	Gertjan Mulder
Gender	Male
Speciality	Family Medicine
Location	3301 N Sawgrass Way, 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: 1659336691
Provider Enumeration Date: 04/20/2006
Last Update Date: 01/23/2014

Medicare PECOS Information:

PECOS PAC ID: 6901902048
Enrollment ID: I20081028000254

Medical Identifiers

Medical identifiers for Gertjan Mulder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659336691	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	M4931 (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. Gertjan Mulder allows following entities to bill medicare on his behalf.

Entity Name	St Lukes Clinic-treasure Valley Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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. Gertjan Mulder 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
Gertjan Mulder, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 375-0862	Gertjan Mulder, MD 3301 N Sawgrass Way, Boise, ID 83704-4493 Ph: (208) 375-0862

Reviews and Comments

Family Medicine Doctors in Boise, ID

Dr. Maureen A Newman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-302-5480
Jessica A Evert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-7350
Tracy Adams, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500
Sarah A Hershman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 Fax: 208-375-2217
Summer E Szumski, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 Fax: 208-375-2217
Dr. Thornton E Bryan Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 E Parkcenter Blvd, Boise, ID 83706 Phone: 208-381-6500 Fax: 208-381-6505
Irvin E Sackman Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 E Boise Ave, Boise, ID 83706 Phone: 208-345-4066 Fax: 208-345-4196

Gertjan Mulder, MD - Medicare Family Medicine in Boise, ID