Active NPI
Lucas P Belford, PA
- Physician Assistant
- Blackfoot, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-1676
- Practice address
- 700 E Alice St
Blackfoot, ID 83221-4925 - Phone
- (208) 785-1200
- NPI assigned
- Nov 6, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Nampa, ID
- NPI 1710392410
-
- Medical Physician Assistant
- Boise, ID
- NPI 1225994437
-
- Addiction (Substance Use Disorder) Counselor
- Boise, ID
- NPI 1962707166
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boise, ID
- NPI 1184155426
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Boise, ID
- NPI 1457414948
Care Compare affiliation Hospital -
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
Care Compare affiliation Hospital -
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
Care Compare affiliation Hospital -
- Ambulance
- Boise, ID
- NPI 1518115195
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
Care Compare affiliation Hospital -
- Critical Access Hospital
- Ketchum, ID
- NPI 1508869470
Care Compare affiliation Hospital
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medical Directors of Idaho PLLC
Practice addresses (Care Compare)
2814 S Indiana Ave
Caldwell, ID 83605-5925
Phone (208) 459-0808
331 E Park St
Weiser, ID 83672-2053
Phone (208) 549-2416
6000 W Denton St
Boise, ID 83704-9310
Phone (208) 629-4383
620 N 6TH St
Bellevue, ID 83313-5174
Phone (208) 788-7180
8211 W Ustick Rd
Boise, ID 83704-5756
Phone (208) 375-3700
909 E Reserve St
Boise, ID 83712-6508
Phone (208) 343-7717
Hospital & facility affiliations
- St Luke'S Wood River Medical Center
- St Luke'S Regional Medical Center
- Saint Alphonsus Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200515000862 | ID | Practitioner - Physician Assistant | 3971934597 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prestige Worldwide LPB LLC | Current | Accepting new patients |
Locations
413 N Allumbaugh St
Ste 101
Boise, ID 83704
Phone (208) 323-1125
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-1676 | ID | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
700 E Alice St
Blackfoot, ID 83221-4925
Mailing address
909 E Reserve St
Boise, ID 83712-6508
Phone (502) 544-1780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 21, 2023.
{
"created_epoch": "1541462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1104394337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 E RESERVE ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126508",
"telephone_number": "502-544-1780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E ALICE ST",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832214925",
"telephone_number": "208-785-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELFORD",
"first_name": "LUCAS",
"middle_name": "P",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-06",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA-1676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blackfoot, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.