Russell Fuller Mckinley, DDS - Medicare Dentist in Boise, ID

Russell Fuller Mckinley, DDS is a medicare enrolled "Dentist - General Practice" provider in Boise, Idaho. His current practice location is 2600 Rose Hill, Ste 100, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 345-1386.

Russell Fuller Mckinley is licensed to practice in Idaho (license number D1869) 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 1457370686.

Contact Information

Russell Fuller Mckinley, DDS
2600 Rose Hill, Ste 100,
Boise, ID 83705
(208) 345-1386
(208) 345-2995



Healthcare Provider's Profile

Full NameRussell Fuller Mckinley
GenderMale
SpecialityDentist - General Practice
Location2600 Rose Hill, Boise, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457370686
  • Provider Enumeration Date: 07/19/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7719284256
  • Enrollment ID: I20160328001270

Medical Identifiers

Medical identifiers for Russell Fuller Mckinley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457370686NPI-NPPES
000010012469OtherIDBLUE SHIELD
000010012469OtherCARING FOUNDATION BLUE SH
532545OtherUNITED CONCORDIA
3127302OtherBLUE CROSS BLUE SHIELD TN
69450OtherIDBLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice D1869 (Idaho)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. Russell Fuller Mckinley 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
Russell Fuller Mckinley, DDS
2600 Rose Hill, Ste 100,
Boise, ID 83705

Ph: (208) 345-1386
Russell Fuller Mckinley, DDS
2600 Rose Hill, Ste 100,
Boise, ID 83705

Ph: (208) 345-1386

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Dentist in Boise, ID

Dr. Jace C. Hansen, DMD, MS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6019 N. Eagle Rd., Boise, ID 83713
Phone: 208-377-2777    Fax: 208-377-3075
Dr. Helen Thu Smith, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 8321 W Overland Rd, Boise, ID 83709
Phone: 208-605-3638    
Benjamin A Hulbert, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 9733 W Ustick Rd, Boise, ID 83704
Phone: 208-375-8720    
Hanna Castleberry, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1175 E Parkcenter Blvd, Boise, ID 83706
Phone: 208-888-5544    
Dr. Errol Chandler Fife, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1675 Hill Rd, Boise, ID 83702
Phone: 208-342-3695    Fax: 208-342-4065
Dr. Robert T Peck, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 7480 Northview St, Boise, ID 83704
Phone: 208-322-2727    Fax: 208-375-0225
Mr. John Stanley Kriz, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 7235 Emerald St, Suite B, Boise, ID 83704
Phone: 208-376-7740    Fax: 208-376-0468

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