Dr Richard Dale Blickenstaff, MD in Boise, ID - Medicare

Dr Richard Dale Blickenstaff, MD is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Boise, Idaho. His current practice location is 6454 W Emerald Street, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 377-0820.

Dr Richard Dale Blickenstaff is licensed to practice in Idaho (license number M-5274) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1265514582.

Contact Information

	Dr Richard Dale Blickenstaff, MD
	6454 W Emerald Street, Boise, ID 83704-8734
	(208) 377-0820
	Not Available

Physician's Profile

Full Name	Dr Richard Dale Blickenstaff
Gender	Male
Speciality
Experience	Years
Location	6454 W Emerald Street, Boise, Idaho
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Richard Dale Blickenstaff attended and graduated from in

NPI Data:

NPI Number: 1265514582
Provider Enumeration Date: 10/19/2006
Last Update Date: 11/29/2007

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Richard Dale Blickenstaff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265514582	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207NS0135X	Dermatology - Procedural Dermatology	M-5274 (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. Dr Richard Dale Blickenstaff 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 Address	Practice Location Address
Dr Richard Dale Blickenstaff, MD 6454 W Emerald Street, Boise, ID 83704-8734 Ph: () -	Dr Richard Dale Blickenstaff, MD 6454 W Emerald Street, Boise, ID 83704-8734 Ph: (208) 377-0820

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Dermatology Doctors in Boise, ID

Dr. James H Stewart, PHD, MD Dermatology Medicare: Medicare Enrolled Practice Location: 7733 W Emerald St, Boise, ID 83704 Phone: 208-376-3220 Fax: 208-322-7370
Lindie K Borton, M.D Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3811 N Garden Center Way, Boise, ID 83703 Phone: 208-287-5525 Fax: 208-287-5530
Marnie R Ririe, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1636 Hadley Ave., Boise, ID 83709 Phone: 208-258-2078 Fax: 208-258-2079
Dr. Joseph Patrick Fetzek, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 6111 W Overland Rd, Boise, ID 83709 Phone: 208-377-0450
Mrs. Jhon R Hall, MD Dermatology Medicare: Medicare Enrolled Practice Location: 13176 W Persimmon Lane, Boise, ID 83713 Phone: 208-939-8640 Fax: 208-939-1892
Dr. Leon William Nowierski, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 100 Warm Springs Ave, Suite A, Boise, ID 83712 Phone: 208-343-5910 Fax: 208-384-8562

Dr Richard Dale Blickenstaff, MD - Medicare in Boise, ID