Gem State Family Eyecare, P.c. - Medicare Optometrist in Boise, ID

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Gem State Family Eyecare, P.c. is a medicare enrolled "Optometrist" provider in Boise, Idaho. Their current practice location is 3815 W State St, Boise, Idaho. You can reach out to their office (for appointments etc.) via phone at (208) 345-6886.

Gem State Family Eyecare, P.c. is licensed to practice in Idaho (license number ODP-100213) and it also participates in the medicare program. Gem State Family Eyecare, P.c. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1154690923.

Contact Information

Gem State Family Eyecare, P.c.
3815 W State St,
Boise, ID 83703-5221
(208) 345-6886
(208) 345-6686

Map and Direction




Healthcare Provider's Profile

Full NameGem State Family Eyecare, P.c.
TypeFacility
SpecialityOptometrist
Location3815 W State St, Boise, Idaho
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154690923
  • Provider Enumeration Date: 12/22/2011
  • Last Update Date: 12/22/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 6305081977
  • Enrollment ID: O20130402000309

Medical Identifiers

Medical identifiers for Gem State Family Eyecare, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154690923NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist ODP-100213 (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. Gem State Family Eyecare, P.c. acts as a billing entity for following providers:
Provider NameJennifer M Drean
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1417262767
PECOS PAC ID: 3678718244
Enrollment ID: I20130402000306
Provider NameMarisa D Brown
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1992321327
PECOS PAC ID: 0446643076
Enrollment ID: I20220203001122

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. Gem State Family Eyecare, P.c. 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
Gem State Family Eyecare, P.c.
3815 W State St,
Boise, ID 83703-5221

Ph: (208) 345-6886		Gem State Family Eyecare, P.c.
3815 W State St,
Boise, ID 83703-5221

Ph: (208) 345-6886

Reviews and Comments


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