Stefanie J Fry, MD - Medicare Cardiovascular Disease (cardiology) in Boise, ID

Stefanie J Fry, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Boise, Idaho. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1991 and has 33 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). She is a member of the group practice St Lukes Clinic-treasure Valley Llc and her current practice location is 300 E Jefferson St, Suite 101, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 322-1680.

Stefanie J Fry is licensed to practice in Idaho (license number M7787) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1881649572.

Contact Information

Stefanie J Fry, MD
300 E Jefferson St, Suite 101,
Boise, ID 83712-6246
(208) 322-1680
(208) 322-1695



Physician's Profile

Full NameStefanie J Fry
GenderFemale
SpecialityCardiovascular Disease (cardiology)
Experience33 Years
Location300 E Jefferson St, Boise, Idaho
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stefanie J Fry attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1991
  NPI Data:
  • NPI Number: 1881649572
  • Provider Enumeration Date: 05/23/2006
  • Last Update Date: 03/17/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 8022914092
  • Enrollment ID: I20031210000517

Medical Identifiers

Medical identifiers for Stefanie J Fry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881649572NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease M7787 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Regional Medical CenterBoise, IDHospital
St Luke's Nampa Medical CenterNampa, IDHospital
St Luke's MccallMccall, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Clinic-treasure Valley Llc4981878402968

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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. Stefanie J Fry 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. Stefanie J Fry 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
Stefanie J Fry, MD
190 E Bannock St,
Boise, ID 83712-6241

Ph: () -
Stefanie J Fry, MD
300 E Jefferson St, Suite 101,
Boise, ID 83712-6246

Ph: (208) 322-1680

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Internal Medicine Doctors in Boise, ID

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