Nicole Lynn Ackley, PHYSICIAN ASSISTANT - Medicare Physician Assistant in Boise, ID

Nicole Lynn Ackley, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant - Medical" in Boise, Idaho. Her current practice location is 500 W Fort St, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 422-1000.

Nicole Lynn Ackley 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 1265532337.

Contact Information

Nicole Lynn Ackley, PHYSICIAN ASSISTANT
500 W Fort St,
Boise, ID 83702-4501
(208) 422-1000
(208) 422-1265



Provider's Profile

Full NameNicole Lynn Ackley
GenderFemale
SpecialityPhysician Assistant - Medical
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: 1265532337
  • Provider Enumeration Date: 09/25/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6305006602
  • Enrollment ID: I20120323000330

Medical Identifiers

Medical identifiers for Nicole Lynn Ackley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265532337NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical (* (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. Nicole Lynn Ackley 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
Nicole Lynn Ackley, PHYSICIAN ASSISTANT
1466 N Trail Creek Way,
Eagle, ID 83616-4090

Ph: () -
Nicole Lynn Ackley, PHYSICIAN ASSISTANT
500 W Fort St,
Boise, ID 83702-4501

Ph: (208) 422-1000

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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
Thomas F Douthit, PA-C
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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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