Mrs Lynnette Michelle Khandaker, APRN-NP - Medicare Nurse Practitioner in Boise, ID

Mrs Lynnette Michelle Khandaker, APRN-NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Boise, Idaho. Her current practice location is 10112 W Overland Rd, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (087) 803-9002.

Mrs Lynnette Michelle Khandaker is licensed to practice in Idaho (license number 60046) 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 1396292421.

Contact Information

Mrs Lynnette Michelle Khandaker, APRN-NP
10112 W Overland Rd,
Boise, ID 83709-1428
(087) 803-9002
(208) 375-2882



Provider's Profile

Full NameMrs Lynnette Michelle Khandaker
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location10112 W Overland Rd, Boise, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396292421
  • Provider Enumeration Date: 09/07/2016
  • Last Update Date: 07/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8123307105
  • Enrollment ID: I20190625001979

Medical Identifiers

Medical identifiers for Mrs Lynnette Michelle Khandaker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396292421NPI-NPPES
1477920270MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WG0000XRegistered Nurse - General Practice RN201537 (Arizona)Secondary
363L00000XNurse Practitioner NP60046 (Idaho)Secondary
363LA2200XNurse Practitioner - Adult Health 60046 (Idaho)Secondary
363LG0600XNurse Practitioner - Gerontology 60046 (Idaho)Secondary
363LP2300XNurse Practitioner - Primary Care 60046 (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. Mrs Lynnette Michelle Khandaker allows following entities to bill medicare on her behalf.
Entity NameHand In Hand Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154817021
PECOS PAC ID: 3971906819
Enrollment ID: O20210729001258

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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. Mrs Lynnette Michelle Khandaker 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
Mrs Lynnette Michelle Khandaker, APRN-NP
10112 W Overland Rd,
Boise, ID 83709-1428

Ph: (208) 780-3900
Mrs Lynnette Michelle Khandaker, APRN-NP
10112 W Overland Rd,
Boise, ID 83709-1428

Ph: (087) 803-9002

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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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