| Colin Brown, PA-C | |
|
13500 S. Pleasant Valley, Kuna, ID 83634 | |
| (208) 922-8312 | |
| Not Available |
| Full Name | Colin Brown |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 13500 S. Pleasant Valley, Kuna, 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 |
|---|---|---|---|
| 1386063980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 51458 (California) | Secondary |
| 363A00000X | Physician Assistant | PA-1176 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| St Luke's Nampa Medical Center | Nampa, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic-treasure Valley Llc | 4981878402 | 1155 |
| Entity Name | St Lukes Clinic-treasure Valley LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Entity Name | Direct Orthopedic Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356769434 PECOS PAC ID: 2163648155 Enrollment ID: O20140729000161 |
| Mailing Address | Practice Location Address |
|---|---|
| Colin Brown, PA-C 190 E Bannock St, Boise, ID 83712-6241 Ph: Not Available | Colin Brown, PA-C 13500 S. Pleasant Valley, Kuna, ID 83634 Ph: (208) 922-8312 |
Mrs. Annie Johnson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 708 E Wythe Creek Ct Ste 103, Kuna, ID 83634 Phone: 208-922-5130 Fax: 208-922-5132 |
Megan Cory Mcintyre, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 825 W Deer Flat Rd, Kuna, ID 83634 Phone: 208-922-3355 Fax: 678-553-1263 |
Mr. Trenton Hart, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 757 E Wythe Creek Ct Ste 100, Kuna, ID 83634 Phone: 208-302-6500 Fax: 208-302-6535 |
Mckinley Marlowe, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14601 S Pleasant Valley Rd, Kuna, ID 83634 Phone: 208-614-6583 |
Kelsey Ann Eyolfson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1474 N Meridian Rd, Kuna, ID 83634 Phone: 208-809-2885 Fax: 208-809-2886 |
Jeffrey V Ball, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 757 E Wythe Creek Ct, Kuna, ID 83634 Phone: 208-302-6500 Fax: 208-302-6535 |
Greg Maloney, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1474 N Meridian Rd, Kuna, ID 83634 Phone: 208-809-2885 Fax: 208-809-2886 |