Mark E Kieckbusch, MD in Boise, ID

Mark E Kieckbusch, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Boise, Idaho. His current practice location is 190 E Bannock St, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 381-2367.

Mark E Kieckbusch is licensed to practice in Idaho (license number M6070) 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 1215981410.

Contact Information

	Mark E Kieckbusch, MD
	190 E Bannock St, Boise, ID 83712-6241
	(208) 381-2367
	(208) 381-4762

Map and Direction

Physician's Profile

Full Name	Mark E Kieckbusch
Gender	Male
Speciality	Pathology - Anatomic Pathology & Clinical Pathology
Location	190 E Bannock St, 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: 1215981410
Provider Enumeration Date: 05/20/2006
Last Update Date: 12/11/2007

Medicare PECOS Information:

PECOS PAC ID: 8224128293
Enrollment ID: I20100714000714

Medical Identifiers

Medical identifiers for Mark E Kieckbusch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215981410	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	M6070 (Idaho)	Primary
207ZH0000X	Pathology - Hematology	M6070 (Idaho)	Secondary

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. Mark E Kieckbusch allows following entities to bill medicare on his behalf.

Entity Name	Boise Pathology Group P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063466225 PECOS PAC ID: 7113943291 Enrollment ID: O20051018000831

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. Mark E Kieckbusch 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
Mark E Kieckbusch, MD Po Box 9589, Boise, ID 83707-4589 Ph: (208) 472-8104	Mark E Kieckbusch, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2367

Reviews and Comments

Pathology Doctors in Boise, ID

Dr. Bryce J. Parkinson, DO, MBA Pathology Medicare: Accepting Medicare Assignments Practice Location: 999 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2153
Jack C Chaffin Jr., MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2152
Elizabeth M Williams, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-3078
Nancy C Kois, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2152
Daniel J Walsh, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2367
Dr. Karen Ann Johnson, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2378

Mark E Kieckbusch, MD - Medicare Pathology in Boise, ID