Melissa Mae Hagman, MD - Medicare Internal Medicine in Boise, ID

Melissa Mae Hagman, MD is a medicare enrolled "Internal Medicine - Hospice And Palliative Medicine" physician in Boise, Idaho. Her current practice location is 500 W. Fort St, # 111r, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 422-1000.

Melissa Mae Hagman is licensed to practice in Idaho (license number M-11626) 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 1649355447.

Contact Information

Melissa Mae Hagman, MD
500 W. Fort St, # 111r,
Boise, ID 83702
(208) 422-1000
(208) 422-1319



Physician's Profile

Full NameMelissa Mae Hagman
GenderFemale
SpecialityInternal Medicine - Hospice And Palliative Medicine
Location500 W. 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: 1649355447
  • Provider Enumeration Date: 10/27/2006
  • Last Update Date: 03/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0345385274
  • Enrollment ID: I20110818000761

Medical Identifiers

Medical identifiers for Melissa Mae Hagman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649355447NPI-NPPES
193980OtherINTERNAL ID-MOTOR VEHICLE ID
8364945MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD00040136 (Washington)Secondary
207RH0002XInternal Medicine - Hospice And Palliative Medicine MD00040136 (Washington)Secondary
207RH0002XInternal Medicine - Hospice And Palliative Medicine M-11626 (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. Melissa Mae Hagman 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
Melissa Mae Hagman, MD
500 W. Fort St, # 111r,
Boise, ID 83702

Ph: (208) 422-1000
Melissa Mae Hagman, MD
500 W. Fort St, # 111r,
Boise, ID 83702

Ph: (208) 422-1000

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Internal Medicine Doctors in Boise, ID

Dr. Jennifer A Hofstra, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1055 N Curtis Road, Boise, ID 83706
Phone: 757-446-8920    Fax: 757-446-5242
Dr. James Robert Polk, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-3104    
Dr. Michael Frederic Krug, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 500 W. Fort St, # 111, Boise, ID 83702
Phone: 208-422-1000    Fax: 208-422-1319
Derrel V Walker, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1055 N Curtis Road, Boise, ID 83706
Phone: 208-367-7350    Fax: 208-367-3951
Dr. Janat E. O'donnell, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 500 W. Fort St., # 111, Boise, ID 83702
Phone: 208-422-1325    Fax: 208-422-1319
Carl L Durning, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6094 W Emerald St, Boise, ID 83704
Phone: 208-367-6575    Fax: 208-367-6597
Dr. Christopher J Goulet, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6259 W Emerald St, Boise, ID 83704
Phone: 208-489-1900    Fax: 208-375-5286

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