Brandon Rysavy, DO - Medicare Internal Medicine in Boise, ID

Brandon Rysavy, DO is a medicare enrolled "Internal Medicine" physician in Boise, Idaho. His current practice location is 500 W. Fort St., # 111, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 422-1000.

Brandon Rysavy is licensed to practice in Idaho (license number O-1196) 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 1396154381.

Contact Information

Brandon Rysavy, DO
500 W. Fort St., # 111,
Boise, ID 83702
(208) 422-1000
(208) 422-1319



Physician's Profile

Full NameBrandon Rysavy
GenderMale
SpecialityInternal Medicine
Location500 W. Fort St., Boise, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396154381
  • Provider Enumeration Date: 08/05/2014
  • Last Update Date: 03/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7113245499
  • Enrollment ID: I20220331001713

Medical Identifiers

Medical identifiers for Brandon Rysavy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396154381NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ED0475A (West Virginia)Secondary
207R00000XInternal Medicine O-1196 (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. Brandon Rysavy 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
Brandon Rysavy, DO
500 W. Fort St., # 111,
Boise, ID 83702

Ph: (208) 422-1000
Brandon Rysavy, DO
500 W. Fort St., # 111,
Boise, ID 83702

Ph: (208) 422-1000

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Internal Medicine Doctors in Boise, ID

Dr. Jennifer A Hofstra, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1055 N Curtis Road, Boise, ID 83706
Phone: 757-446-8920    Fax: 757-446-5242
Dr. James Robert Polk, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-3104    
Dr. Michael Frederic Krug, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 500 W. Fort St, # 111, Boise, ID 83702
Phone: 208-422-1000    Fax: 208-422-1319
Derrel V Walker, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1055 N Curtis Road, Boise, ID 83706
Phone: 208-367-7350    Fax: 208-367-3951
Dr. Janat E. O'donnell, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 500 W. Fort St., # 111, Boise, ID 83702
Phone: 208-422-1325    Fax: 208-422-1319
Carl L Durning, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6094 W Emerald St, Boise, ID 83704
Phone: 208-367-6575    Fax: 208-367-6597
Dr. Christopher J Goulet, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6259 W Emerald St, Boise, ID 83704
Phone: 208-489-1900    Fax: 208-375-5286

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