| Amber Ann Hackenberg, PA-C | |
|
323 E Riverside Drive, Ste 224, Eagle, ID 83616 | |
| (208) 302-6000 | |
| (208) 302-6055 |
| Full Name | Amber Ann Hackenberg |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 323 E Riverside Drive, Eagle, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326357070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA152970 (Oregon) | Secondary |
| 363A00000X | Physician Assistant | PA-948 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
| Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Alphonsus Regional Medical Center Inc | 3476462359 | 541 |
| Mailing Address | Practice Location Address |
|---|---|
| Amber Ann Hackenberg, PA-C 3340 E Goldstone Way, Meridian, ID 83642 Ph: (208) 302-6000 | Amber Ann Hackenberg, PA-C 323 E Riverside Drive, Ste 224, Eagle, ID 83616 Ph: (208) 302-6000 |
Caden Johnson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2025 E Riverside Dr Ste 160, Eagle, ID 83616 Phone: 208-900-9500 | |
Mr. Sean Michael Lawson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3101 E State St, Eagle, ID 83616 Phone: 208-473-3100 | |
Christa Inzercastillo, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1281 E Iron Eagle Dr, Eagle, ID 83616 Phone: 208-939-5535 | |
Rebekah Dianne Cutler, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2025 E Riverside Dr Ste 160, Eagle, ID 83616 Phone: 208-900-9500 | |
Bradley Morris, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3217 W Bavaria St, Eagle, ID 83616 Phone: 208-286-6676 | |
Kristen Leenhouts, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2582 N Eagle Rd, Eagle, ID 83616 Phone: 208-501-6146 |