Bethany Kendall Maze, FNP - Medicare Nurse Practitioner in Boise, ID

Bethany Kendall Maze, FNP is a medicare enrolled "Nurse Practitioner - Family" in Boise, Idaho. Her current practice location is 6051 W Emerald St, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 302-5150.

Bethany Kendall Maze is licensed to practice in Idaho (license number 60785) 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 1053180976.

Contact Information

Bethany Kendall Maze, FNP
6051 W Emerald St,
Boise, ID 83704-8969
(208) 302-5150
(208) 302-5155



Provider's Profile

Full NameBethany Kendall Maze
GenderFemale
SpecialityNurse Practitioner - Family
Location6051 W Emerald 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: 1053180976
  • Provider Enumeration Date: 12/20/2023
  • Last Update Date: 01/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0749623312
  • Enrollment ID: I20240210000572

Medical Identifiers

Medical identifiers for Bethany Kendall Maze such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053180976NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 60785 (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. Bethany Kendall Maze allows following entities to bill medicare on her behalf.
Entity NameSaint Alphonsus Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649357716
PECOS PAC ID: 3476462359
Enrollment ID: O20040204001036

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› Verified 7 days ago

Entity NameSaint Alphonsus Medical Center- Ontario Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093034159
PECOS PAC ID: 1456488899
Enrollment ID: O20120229000024

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› Verified 7 days ago

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. Bethany Kendall Maze 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
Bethany Kendall Maze, FNP
Po Box 190930,
Boise, ID 83719-0930

Ph: (208) 367-5170
Bethany Kendall Maze, FNP
6051 W Emerald St,
Boise, ID 83704-8969

Ph: (208) 302-5150

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› Verified 7 days ago


Nurse Practitioner Nurses in Boise, ID

Nora M Suarez, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 190 E Bannock St, Boise, ID 83712
Phone: 208-381-2222    
Dr. Nancy Jane L'heureux, DNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6259 W Emerald St, Boise, ID 83704
Phone: 208-489-1900    Fax: 208-375-5286
Jennifer Woodburn,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 190 E Bannock St, Boise, ID 83712
Phone: 208-381-5015    
Carl Ciplinski, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10583 W Lake Hazel Rd, Boise, ID 83709
Phone: 208-302-5950    
Kathryn Laura Cnossen, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 8000 S Federal Way, Boise, ID 83716
Phone: 208-368-2109    
Mrs. Chelsea Rose Wallace, RN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9976 W Emerald St, Boise, ID 83704
Phone: 208-229-3742    
Natasha Michele King-anderson, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 707 N Armstrong Pl, Boise, ID 83704
Phone: 208-375-5211    

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