Shannon Kathleen Lance, DO - Medicare Internal Medicine in Boise, ID

Shannon Kathleen Lance, DO is a medicare enrolled "Internal Medicine - Rheumatology" physician in Boise, Idaho. Her current practice location is 600 N Robbins Rd Ste 302, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 706-5930.

Shannon Kathleen Lance is licensed to practice in Idaho (license number O-1817) 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 1700382421.

Contact Information

Shannon Kathleen Lance, DO
600 N Robbins Rd Ste 302,
Boise, ID 83702-4565
(208) 706-5930
(208) 706-5942



Physician's Profile

Full NameShannon Kathleen Lance
GenderFemale
SpecialityInternal Medicine - Rheumatology
Location600 N Robbins Rd Ste 302, Boise, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700382421
  • Provider Enumeration Date: 04/02/2018
  • Last Update Date: 08/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1850751256
  • Enrollment ID: I20230717003227

Medical Identifiers

Medical identifiers for Shannon Kathleen Lance such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700382421NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RR0500XInternal Medicine - Rheumatology O-1817 (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. Shannon Kathleen Lance allows following entities to bill medicare on her behalf.
Entity NameSt Lukes Clinic-treasure Valley Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045

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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. Shannon Kathleen Lance 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
Shannon Kathleen Lance, DO
190 E Bannock St,
Boise, ID 83712-6241

Ph: () -
Shannon Kathleen Lance, DO
600 N Robbins Rd Ste 302,
Boise, ID 83702-4565

Ph: (208) 706-5930

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Internal Medicine Doctors in Boise, ID

Dr. Jennifer A Hofstra, MD
Rheumatology
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
Rheumatology
Medicare: Not Enrolled in Medicare
Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-3104    
Dr. Michael Frederic Krug, M.D.
Rheumatology
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.
Rheumatology
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
Rheumatology
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
Rheumatology
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.
Rheumatology
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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