Vaun J Archibald, DO in Boise, ID

Vaun J Archibald, DO is a medicare enrolled "Pediatrics" physician in Boise, Idaho. His current practice location is 1072 N Liberty St, Suite 203, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 367-4321.

Vaun J Archibald is licensed to practice in Idaho (license number O-0449) 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 1417937517.

Contact Information

	Vaun J Archibald, DO
	1072 N Liberty St, Suite 203, Boise, ID 83704-8708
	(208) 367-4321
	(208) 367-4525

Map and Direction

Physician's Profile

Full Name	Vaun J Archibald
Gender	Male
Speciality	Pediatrics
Location	1072 N Liberty 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: 1417937517
Provider Enumeration Date: 01/17/2006
Last Update Date: 06/04/2013

Medicare PECOS Information:

PECOS PAC ID: 8921295189
Enrollment ID: I20101214000586

Medical Identifiers

Medical identifiers for Vaun J Archibald such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417937517	NPI	-	NPPES
807789500	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080A0000X	Pediatrics - Adolescent Medicine	O-0449 (Idaho)	Secondary
208000000X	Pediatrics	O-0449 (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. Vaun J Archibald allows following entities to bill medicare on his behalf.

Entity Name	Saint Alphonsus Regional Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036

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. Vaun J Archibald 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
Vaun J Archibald, DO 3340 E Goldstone Way, Meridian, ID 83642-1026 Ph: (208) 367-5170	Vaun J Archibald, DO 1072 N Liberty St, Suite 203, Boise, ID 83704-8708 Ph: (208) 367-4321

Reviews and Comments

Pediatrics Doctors in Boise, ID

Dr. Nathan D Meeker, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St, Boise, ID 83712 Phone: 208-381-2782 Fax: 208-381-3172
Nicolas A Camilo, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St., Boise, ID 83712 Phone: 208-381-2782 Fax: 208-381-3172
Heather Carew, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2645
Dr. Frederick K Emge, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St, Suite 200, Boise, ID 83712 Phone: 208-381-7384 Fax: 208-381-7387
Annis Wakelee Vargas, M.D. Pediatrics 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 Pediatrics Medicare: Medicare Enrolled Practice Location: 8610 W Overland Rd, Boise, ID 83709 Phone: 208-954-8711 Fax: 208-375-2217
Mikelle E Mikesell, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 8610 W Overland Rd, Boise, ID 83709 Phone: 208-954-8711

Vaun J Archibald, DO - Medicare Pediatrics in Boise, ID