Mr David S Micklitz, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Boise, ID

Mr David S Micklitz, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Boise, Idaho. He graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Associates Of Boise, P.a. and his current practice location is 111 W State St, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 336-0895.

Mr David S Micklitz is licensed to practice in Idaho (license number RNA505) 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 1720099088.

Contact Information

Mr David S Micklitz, CRNA
111 W State St,
Boise, ID 83702-6127
(208) 336-0895
(208) 338-1796



Provider's Profile

Full NameMr David S Micklitz
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience23 Years
Location111 W State 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:
  • Mr David S Micklitz graduated from nursing school in 2001
  NPI Data:
  • NPI Number: 1720099088
  • Provider Enumeration Date: 08/11/2006
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0749306108
  • Enrollment ID: I20100923000524

Medical Identifiers

Medical identifiers for Mr David S Micklitz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720099088NPI-NPPES
80613340MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RNA505 (Idaho)Primary

Medical Facilities Affiliation

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

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesthesia Associates Of Boise, P.a.2668385287153

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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. Mr David S Micklitz allows following entities to bill medicare on his behalf.
Entity NameAnesthesia Associates Of Boise, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033147467
PECOS PAC ID: 2668385287
Enrollment ID: O20031110000655

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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. Mr David S Micklitz 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
Mr David S Micklitz, CRNA
111 W State St,
Boise, ID 83702-6127

Ph: (208) 336-0895
Mr David S Micklitz, CRNA
111 W State St,
Boise, ID 83702-6127

Ph: (208) 336-0895

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Nurse Anesthetist, Certified Registered Nurses in Boise, ID

Mr. Douglas Neurath,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 111 W State St, Boise, ID 83702
Phone: 208-336-0895    
Jordan B Wolff, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 111 W State St, Boise, ID 83702
Phone: 208-336-0895    Fax: 208-338-1796
Nathan S Call, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 190 E Bannock St, Boise, ID 83712
Phone: 208-381-2222    
Ashton Mieritz, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-2121    
Kenneth Clark Stratton Jr., CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-2559    
Diana San Juan Shimko, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-6416    
David Hansen, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 338 E Bannock St, Boise, ID 83712
Phone: 208-336-0895    

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