| Brandy M Bates, PA-C | |
|
2434 S Fairway Dr, Pocatello, ID 83201-2372 | |
| (208) 851-9151 | |
| (208) 417-1822 |
| Full Name | Brandy M Bates |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 2434 S Fairway Dr, Pocatello, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487886560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 11217957-1206 (Utah) | Primary |
| 363A00000X | Physician Assistant | PA-808 (Idaho) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Brandy M Bates, PA-C 2434 S Fairway Dr, Pocatello, ID 83201-2372 Ph: (208) 851-9151 | Brandy M Bates, PA-C 2434 S Fairway Dr, Pocatello, ID 83201-2372 Ph: (208) 851-9151 |
Alyssa M Woodbury, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1226 Fax: 208-239-3671 | |
Shannon Alison Webb, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 | |
Mrs. Helena M. B. Rizor, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1448 E Center St, Pocatello, ID 83201 Phone: 208-234-1300 Fax: 208-234-1333 | |
Ms. Kasandra Jo Kister, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 921 S 8th Ave Stop 8253, Pocatello, ID 83209 Phone: 208-282-4726 | |
Gabrielle Abernathy, Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 S 11th Ave Ste 100, Pocatello, ID 83201 Phone: 208-232-6214 | |
Shad Carl Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1151 Hospital Way Bldg A, Pocatello, ID 83201 Phone: 208-232-6616 Fax: 208-232-6618 | |
Mr. Michael John Doyle, PA-C(PHYS ASST) Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 921 S 8th Ave Stop 8311, Pocatello, ID 83209 Phone: 208-282-2330 Fax: 208-282-4036 |