Michael James Duplisea, MD - Medicare Student in an Organized Health Care Education/Training Program in Boise, ID

Michael James Duplisea, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Boise, Idaho. His current practice location is 500 W Fort St # 111r, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 422-1314.

Michael James Duplisea is licensed to practice in * (Not Available) (license number ) 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 1326740879.

Contact Information

Michael James Duplisea, MD
500 W Fort St # 111r,
Boise, ID 83702-4501
(208) 422-1314
(208) 422-1388



Physician's Profile

Full NameMichael James Duplisea
GenderMale
SpecialityStudent In An Organized Health Care Education/training Program
Location500 W Fort St # 111r, Boise, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326740879
  • Provider Enumeration Date: 03/20/2023
  • Last Update Date: 04/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0648635425
  • Enrollment ID: I20230501000657

Medical Identifiers

Medical identifiers for Michael James Duplisea such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326740879NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MRM-2226 (Idaho)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))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. Michael James Duplisea 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
Michael James Duplisea, MD
500 W Fort St # 111r,
Boise, ID 83702-4501

Ph: (208) 422-1314
Michael James Duplisea, MD
500 W Fort St # 111r,
Boise, ID 83702-4501

Ph: (208) 422-1314

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