Kelli M Pease, PA - Medicare Physician Assistant in Boise, ID

Kelli M Pease, PA is a medicare enrolled "Physician Assistant" in Boise, Idaho. Her current practice location is 500 W Fort St, # 111, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 422-1326.

Kelli M Pease is licensed to practice in * (Not Available) (license number ) 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 1023443421.

Contact Information

Kelli M Pease, PA
500 W Fort St, # 111,
Boise, ID 83702
(208) 422-1326
Not Available



Provider's Profile

Full NameKelli M Pease
GenderFemale
SpecialityPhysician Assistant
Location500 W Fort 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: 1023443421
  • Provider Enumeration Date: 09/05/2013
  • Last Update Date: 07/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3375832330
  • Enrollment ID: I20160513001033

Medical Identifiers

Medical identifiers for Kelli M Pease such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023443421NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (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. Kelli M Pease 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
Kelli M Pease, PA
500 W Fort St, # 111,
Boise, ID 83702

Ph: (208) 422-1326
Kelli M Pease, PA
500 W Fort St, # 111,
Boise, ID 83702

Ph: (208) 422-1326

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Physician Assistant Nurses in Boise, ID

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Phone: 208-302-4400    Fax: 208-302-4255
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Phone: 208-336-8250    Fax: 208-345-9514
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Practice Location: 900 N. Liberty St., Suite 400, Boise, ID 83704
Phone: 208-367-3320    Fax: 208-367-7474

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