| Cameron Gregory Davis, | |
|
315 E Elm St Ste 100, Caldwell, ID 83605-4858 | |
| (208) 302-7150 | |
| Not Available |
| Full Name | Cameron Gregory Davis |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 315 E Elm St Ste 100, Caldwell, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174284871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-2214 (Idaho) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Alphonsus Regional Medical Center Inc | 3476462359 | 672 |
| Entity Name | Saint Alphonsus Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
| Entity Name | Saint Alphonsus Medical Center- Ontario Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093034159 PECOS PAC ID: 1456488899 Enrollment ID: O20120229000024 |
| Mailing Address | Practice Location Address |
|---|---|
| Cameron Gregory Davis, 3340 E Goldstone Dr, Meridian, ID 83642-1026 Ph: (208) 302-9342 | Cameron Gregory Davis, 315 E Elm St Ste 100, Caldwell, ID 83605-4858 Ph: (208) 302-7150 |
Heather Hoewing, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1906 Fairview Ave, Ste 230, Caldwell, ID 83605 Phone: 208-429-4667 Fax: 208-442-6520 |
Hodaka Paul Abe, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 206 E Elm St, Caldwell, ID 83605 Phone: 208-459-4511 Fax: 208-459-6602 |
Jason Weaver, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2609 S 10th Ave, Caldwell, ID 83605 Phone: 208-454-2771 |
Michelle Stoddard, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 712 Aviation Way, Caldwell, ID 83605 Phone: 208-302-7150 Fax: 208-302-7155 |
Ms. Janet E Mitchell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4521 Thomas Jefferson St, Caldwell, ID 83605 Phone: 208-454-4820 |
Thomas Wayne Tryon, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 206 E Elm St, Caldwell, ID 83605 Phone: 208-459-4511 Fax: 208-459-6602 |
Josiah Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 512 E Elm St, Caldwell, ID 83605 Phone: 208-370-7004 |