North Fork Developmental Pediatrics, Llc is a
Pediatrics - Developmental - Behavioral Pediatrics based in Meridian, Idaho. North Fork Developmental Pediatrics, Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
2921 S Meridian Rd, Meridian, Idaho. It can be reached at their office (for appointments etc.) via phone at
(847) 858-1340.
NPI number for North Fork Developmental Pediatrics, Llc is 1679373518 and their current mailing address is 1775 W State St # 179, Boise, Idaho. North Fork Developmental Pediatrics, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1679373518.
Healthcare Provider's Profile
| Full Name | North Fork Developmental Pediatrics, Llc |
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| Type | Facility |
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| Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
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| Location | 2921 S Meridian Rd, Meridian, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679373518
- Provider Enumeration Date: 03/18/2025
- Last Update Date: 03/19/2025
Medical Identifiers
Medical identifiers for North Fork Developmental Pediatrics, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679373518 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | (* (Not Available)) | Secondary |
| 2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | (* (Not Available)) | Primary |
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. North Fork Developmental Pediatrics, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
North Fork Developmental Pediatrics, Llc
1775 W State St # 179,
Boise, ID 83702-3924
Ph: (847) 858-1340 | North Fork Developmental Pediatrics, Llc
2921 S Meridian Rd,
Meridian, ID 83642-7961
Ph: (847) 858-1340 |
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