Tara S Whitaker, MD - Medicare Family Practice in Boise, ID

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Tara S Whitaker, MD is a medicare enrolled "Family Medicine" physician in Boise, Idaho. She went to University Of Washington School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice St Lukes Clinic-treasure Valley Llc and her current practice location is 1520 W State St, Suite 100, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 947-7700.

Tara S Whitaker is licensed to practice in Idaho (license number M-11855) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134416647.

Contact Information

Tara S Whitaker, MD
1520 W State St, Suite 100,
Boise, ID 83702-4085
(208) 947-7700
Not Available

Map and Direction




Physician's Profile

Full NameTara S Whitaker
GenderFemale
SpecialityFamily Practice
Experience13 Years
Location1520 W State St, Boise, Idaho
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tara S Whitaker attended and graduated from University Of Washington School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1134416647
  • Provider Enumeration Date: 07/05/2011
  • Last Update Date: 05/05/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1052558814
  • Enrollment ID: I20140804000488

Medical Identifiers

Medical identifiers for Tara S Whitaker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134416647NPI-NPPES
1134416647MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine M-11855 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Regional Medical CenterBoise, IDHospital
Saint Alphonsus Regional Medical CenterBoise, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Clinic-treasure Valley Llc4981878402968

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. Tara S Whitaker allows following entities to bill medicare on her behalf.
Entity NameSage Healthcare Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891820767
PECOS PAC ID: 7810974904
Enrollment ID: O20040709001202
Entity NameSt Lukes Clinic-treasure Valley Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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. Tara S Whitaker 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
Tara S Whitaker, MD
190 E Bannock St,
Boise, ID 83712-6241

Ph: (208) 381-2222		Tara S Whitaker, MD
1520 W State St, Suite 100,
Boise, ID 83702-4085

Ph: (208) 947-7700

Reviews and Comments


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Summer E Szumski, DO
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Dr. Thornton E Bryan Iii, MD
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Irvin E Sackman Jr., MD
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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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.