Ariel Shantay Avis Taysom, PA-C - Medicare Physician Assistant in Malad City, ID

  1. Home
  2. Physician Assistant
  3. ID
  4. Malad City
Ariel Shantay Avis Taysom, PA-C is a medicare enrolled "Physician Assistant" in Malad City, Idaho. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Cc Pocatello Llc and her current practice location is 220 Bannock St, Malad City, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 766-2600.

Ariel Shantay Avis Taysom is licensed to practice in Idaho (license number PA-1656) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609341098.

Contact Information

Ariel Shantay Avis Taysom, PA-C
220 Bannock St,
Malad City, ID 83252-5068
(208) 766-2600
(208) 766-4258

Map and Direction




Provider's Profile

Full NameAriel Shantay Avis Taysom
GenderFemale
SpecialityPhysician Assistant
Experience7 Years
Location220 Bannock St, Malad City, Idaho
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ariel Shantay Avis Taysom graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1609341098
  • Provider Enumeration Date: 10/11/2018
  • Last Update Date: 11/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2769726447
  • Enrollment ID: I20220801002930

Medical Identifiers

Medical identifiers for Ariel Shantay Avis Taysom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609341098NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA-1656 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Portneuf Medical CenterPocatello, IDHospital
Mountain View HospitalIdaho falls, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cc Pocatello Llc85273531765

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. Ariel Shantay Avis Taysom 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
Ariel Shantay Avis Taysom, PA-C
220 Bannock St,
Malad City, ID 83252-5068

Ph: (208) 766-2600		Ariel Shantay Avis Taysom, PA-C
220 Bannock St,
Malad City, ID 83252-5068

Ph: (208) 766-2600

Reviews and Comments


Physician Assistant Nurses in Malad City, ID

Rick C. Clark Jr., PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 220 Bannock St, Suite 306, Malad City, ID 83252
Phone: 208-766-2600    Fax: 208-766-4258
Mel Bingham, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 220 Bannock St, Malad City, ID 83252
Phone: 208-766-2600    Fax: 208-766-4258
Robert Todd Gillespie, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 220 Bannock St, Suite B, Malad City, ID 83252
Phone: 208-766-2600    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.