Dr Nathan L Thornton, MD - Medicare Pediatrics in Boise, ID

Dr Nathan L Thornton, 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.

Dr Nathan L Thornton is licensed to practice in Idaho (license number M-12167) 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 1780870360.

Contact Information

Dr Nathan L Thornton, MD
190 E Bannock St,
Boise, ID 83712-6241
(208) 381-2088
Not Available



Physician's Profile

Full NameDr Nathan L Thornton
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: 1780870360
  • Provider Enumeration Date: 09/18/2007
  • Last Update Date: 01/08/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 9537339106
  • Enrollment ID: I20131114001908

Medical Identifiers

Medical identifiers for Dr Nathan L Thornton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780870360NPI-NPPES
1780870360MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine 5767776-1205 (Utah)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine M-12167 (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. Dr Nathan L Thornton allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Clinic-treasure Valley Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045

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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. Dr Nathan L Thornton 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
Dr Nathan L Thornton, MD
190 E Bannock St,
Boise, ID 83712-6241

Ph: (208) 381-2222
Dr Nathan L Thornton, 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.
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Practice Location: 100 E Idaho St, Boise, ID 83712
Phone: 208-381-2782    Fax: 208-381-3172
Nicolas A Camilo, MD
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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.
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Practice Location: 190 E Bannock St, Boise, ID 83712
Phone: 208-381-2645    
Dr. Frederick K Emge, MD
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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.
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Practice Location: 1072 N Liberty Street, Ste 203, Boise, ID 83701
Phone: 208-302-5800    Fax: 208-302-5855
Mrs. Lisa S Labor, MD
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Practice Location: 8610 W Overland Rd, Boise, ID 83709
Phone: 208-954-8711    Fax: 208-375-2217
Mikelle E Mikesell, DO
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