Declan P O'riordan, MD - Medicare Pediatrics in Boise, ID

Declan P O'riordan, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Boise, Idaho. His current practice location is 190 E Bannock St, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 381-2088.

Declan P O'riordan is licensed to practice in Idaho (license number M9130) 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 1629016043.

Contact Information

Declan P O'riordan, MD
190 E Bannock St,
Boise, ID 83712-6241
(208) 381-2088
Not Available



Physician's Profile

Full NameDeclan P O'riordan
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location190 E Bannock 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: 1629016043
  • Provider Enumeration Date: 06/04/2006
  • Last Update Date: 09/11/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0941594790
  • Enrollment ID: I20160802002454

Medical Identifiers

Medical identifiers for Declan P O'riordan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629016043NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine M9130 (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. Declan P O'riordan allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790718229
PECOS PAC ID: 1052217478
Enrollment ID: O20031208000899

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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. Declan P O'riordan 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
Declan P O'riordan, MD
190 E Bannock St,
Boise, ID 83712-6241

Ph: (208) 381-2088
Declan P O'riordan, MD
190 E Bannock St,
Boise, ID 83712-6241

Ph: (208) 381-2088

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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: Not Enrolled in Medicare
Practice Location: 8610 W Overland Rd, Boise, ID 83709
Phone: 208-954-8711    

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