Charles Di Leonardo, MSPAS, PA-C - Medicare Physician Assistant in Boise, ID

Charles Di Leonardo, MSPAS, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Boise, Idaho. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Alliance Medical Group Llc and his current practice location is 190 E Bannock St, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 814-1000.

Charles Di Leonardo is licensed to practice in Idaho (license number PA-2147) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356095871.

Contact Information

Charles Di Leonardo, MSPAS, PA-C
190 E Bannock St,
Boise, ID 83712-6241
(208) 814-1000
Not Available



Provider's Profile

Full NameCharles Di Leonardo
GenderMale
SpecialityPhysician Assistant
Experience4 Years
Location190 E Bannock St, Boise, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charles Di Leonardo graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1356095871
  • Provider Enumeration Date: 02/04/2022
  • Last Update Date: 04/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9830576123
  • Enrollment ID: I20220505002144

Medical Identifiers

Medical identifiers for Charles Di Leonardo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356095871NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical (* (Not Available))Secondary
363AS0400XPhysician Assistant - Surgical PA-2147 (Idaho)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Alliance Medical Group Llc3971544685120

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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. Charles Di Leonardo 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
Charles Di Leonardo, MSPAS, PA-C
190 E Bannock St,
Boise, ID 83712-6241

Ph: () -
Charles Di Leonardo, MSPAS, PA-C
190 E Bannock St,
Boise, ID 83712-6241

Ph: (208) 814-1000

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Physician Assistant Nurses in Boise, ID

Brittany Guthrie, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1072 N Liberty Street, Ste 303, Boise, ID 83704
Phone: 208-302-4400    Fax: 208-302-4255
Polina Kokoulina, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 900 N Liberty St, Ste 101, Boise, ID 83704
Phone: 208-367-5050    Fax: 208-367-5151
Natalie Marie Hague, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 100 E Warm Springs Ave Ste B, Boise, ID 83712
Phone: 208-381-6930    Fax: 208-381-6931
Micah Ray Tobin, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 10583 W Lake Hazel Rd, Boise, ID 83709
Phone: 208-302-5950    Fax: 208-302-5955
Jason H. Mcbride, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-3131    
Patrick B Mccabe, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1188 W University Dr, Boise, ID 83706
Phone: 208-336-8250    Fax: 208-345-9514
Thomas F Douthit, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 900 N. Liberty St., Suite 400, Boise, ID 83704
Phone: 208-367-3320    Fax: 208-367-7474

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