Kelly Rogers Showalter, MD - Medicare Pediatrics in Boise, ID

Kelly Rogers Showalter, MD is a medicare enrolled "Pediatrics" physician in Boise, Idaho. Her current practice location is 121 E Fort St, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 381-1780.

Kelly Rogers Showalter is licensed to practice in Idaho (license number M6579) 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 1740303734.

Contact Information

Kelly Rogers Showalter, MD
121 E Fort St,
Boise, ID 83712-6322
(208) 381-1780
Not Available



Physician's Profile

Full NameKelly Rogers Showalter
GenderFemale
SpecialityPediatrics
Location121 E 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: 1740303734
  • Provider Enumeration Date: 04/06/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8921195512
  • Enrollment ID: I20071029000655

Medical Identifiers

Medical identifiers for Kelly Rogers Showalter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740303734NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics M6579 (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. Kelly Rogers Showalter allows following entities to bill medicare on her behalf.
Entity NameFull Circle Health, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841490075
PECOS PAC ID: 6709986797
Enrollment ID: O20070924000618

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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. Kelly Rogers Showalter 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
Kelly Rogers Showalter, MD
121 E. Fort Street,
Boise, ID 83712

Ph: (208) 381-1780
Kelly Rogers Showalter, MD
121 E Fort St,
Boise, ID 83712-6322

Ph: (208) 381-1780

News Archive

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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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