Landon Kelly Grange, MD - Medicare Ophthalmology in Boise, ID

Landon Kelly Grange, MD is a medicare enrolled "Ophthalmology" physician in Boise, Idaho. He went to University Of California, San Diego School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Ophthalmology. His current practice location is 5680 W Gage St, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 773-3937.

Landon Kelly Grange is licensed to practice in Idaho (license number M14219) 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 1043620255.

Contact Information

Landon Kelly Grange, MD
5680 W Gage St,
Boise, ID 83706
(208) 773-3937
(208) 377-3937



Physician's Profile

Full NameLandon Kelly Grange
GenderMale
SpecialityOphthalmology
Experience10 Years
Location5680 W Gage St, Boise, Idaho
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Landon Kelly Grange attended and graduated from University Of California, San Diego School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1043620255
  • Provider Enumeration Date: 04/28/2014
  • Last Update Date: 07/26/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7012209182
  • Enrollment ID: I20180716003161

Medical Identifiers

Medical identifiers for Landon Kelly Grange such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043620255NPI-NPPES
1043620255MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology M14219 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's MccallMccall, IDHospital
West Valley Medical CenterCaldwell, IDHospital

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. Landon Kelly Grange allows following entities to bill medicare on his behalf.
Entity NameGrange Ophthalmology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285376558
PECOS PAC ID: 8527455377
Enrollment ID: O20220425001867

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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. Landon Kelly Grange 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
Landon Kelly Grange, MD
3867 Miramar St, Apartment G,
La Jolla, CA 92037-1312

Ph: (208) 559-6893
Landon Kelly Grange, MD
5680 W Gage St,
Boise, ID 83706

Ph: (208) 773-3937

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Ophthalmology Doctors in Boise, ID

Dr. Mark J Boerner, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 111 W Main St Ste 200, Boise, ID 83702
Phone: 208-344-3220    Fax: 208-344-0461
James R Swartley, MD
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 222 N 2nd St, Suite 215, Boise, ID 83702
Phone: 208-342-2706    
Dr. Chad Harman Jackson, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 111 W Main St Ste 200, Boise, ID 83702
Phone: 208-344-3220    Fax: 208-344-0461
Daniel R Brooks, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 222 N 2nd St, Ste 215, Boise, ID 83702
Phone: 208-381-6910    
John R Sonntag, M.D.
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 5680 W Gage St, Boise, ID 83706
Phone: 208-377-3937    Fax: 208-377-9455
Ali Torab Parhiz, M.D
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 901 N Curtis Rd Ste 302, Boise, ID 83706
Phone: 812-424-2020    

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