| Amber Farance, PA-C | |
|
428 6th Ave, Lewiston, ID 83501-2355 | |
| (208) 263-9757 | |
| (208) 965-8128 |
| Full Name | Amber Farance |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 428 6th Ave, Lewiston, 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 |
|---|---|---|---|
| 1760031728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA61117581 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tri-state Memorial Hospital | Clarkston, WA | Hospital |
| St Joseph Regional Medical Center | Lewiston, ID | Hospital |
| Clearwater Valley Hospital & Clinics | Orofino, ID | Hospital |
| Pullman Regional Hospital | Pullman, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Idaho Pain Clinic Pllc | 3274712609 | 9 |
| Idaho Pain Clinic Pllc | 3274712609 | 9 |
| Entity Name | Idaho Pain Clinic PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417267329 PECOS PAC ID: 3274712609 Enrollment ID: O20110131000990 |
| Mailing Address | Practice Location Address |
|---|---|
| Amber Farance, PA-C 1327 W Superior St Ste 101, Sandpoint, ID 83864-2742 Ph: (509) 254-7050 | Amber Farance, PA-C 428 6th Ave, Lewiston, ID 83501-2355 Ph: (208) 263-9757 |
Kayla Faye Cornell, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 320 Warner Dr, Lewiston, ID 83501 Phone: 208-743-3523 |
Christopher V Ricketts, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-799-5280 |
Katelyn Brimhall, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1203 Idaho St, Lewiston, ID 83501 Phone: 208-848-8300 Fax: 509-434-0392 |
Vincent Fibelstad, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-799-5554 |
Breanne L Lybyer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 |
Ms. Laura Marie Gifford, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 |
Mr. Philip Louis Weidner Ii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 320 Warner Dr, Lewiston, ID 83501 Phone: 208-743-3523 Fax: 833-941-3874 |