Diana M Green, DO - Medicare Pediatrics in Boise, ID

Diana M Green, DO is a medicare enrolled "Pediatrics" physician in Boise, Idaho. Her current practice location is 8610 W Overland Rd, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 954-8711.

Diana M Green is licensed to practice in Idaho (license number MRO-2255) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639865207.

Contact Information

Diana M Green, DO
8610 W Overland Rd,
Boise, ID 83709-1645
(208) 954-8711
(208) 375-2217



Physician's Profile

Full NameDiana M Green
GenderFemale
SpecialityPediatrics
Location8610 W Overland Rd, Boise, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639865207
  • Provider Enumeration Date: 04/17/2023
  • Last Update Date: 04/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8921464496
  • Enrollment ID: I20230525002713

Medical Identifiers

Medical identifiers for Diana M Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639865207NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MRO-2255 (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. Diana M Green 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
Diana M Green, DO
777 N Raymond St,
Boise, ID 83704-9251

Ph: (208) 514-2500
Diana M Green, DO
8610 W Overland Rd,
Boise, ID 83709-1645

Ph: (208) 954-8711

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› Verified 7 days ago


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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