| Daniel B Rick, PA | |
|
3200 Channing Way Ste A206, Idaho Falls, ID 83404-7586 | |
| (208) 529-2230 | |
| (208) 561-8061 |
| Full Name | Daniel B Rick |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 3200 Channing Way Ste A206, Idaho Falls, 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 |
|---|---|---|---|
| 1770764136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 138794 (Alaska) | Secondary |
| 363A00000X | Physician Assistant | PA-1246 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Portneuf Medical Center | Pocatello, ID | Hospital |
| Southeast Alaska Regional Health Consortium | Sitka, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Alaska Regional Health Consortium | 1456265362 | 373 |
| Steele Lake Specialty Pllc | 1153774567 | 20 |
| Pocatello Health Services Llc | 6608927637 | 171 |
| Entity Name | Southeast Alaska Regional Health Consortium |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376758037 PECOS PAC ID: 1456265362 Enrollment ID: O20031114000631 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel B Rick, PA 3200 Channing Way Ste A206, Idaho Falls, ID 83404-7586 Ph: (208) 529-2230 | Daniel B Rick, PA 3200 Channing Way Ste A206, Idaho Falls, ID 83404-7586 Ph: (208) 529-2230 |
Mr. Kelly Meacham, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3389 Merlin Dr, Idaho Falls, ID 83404 Phone: 208-552-9831 |
Brigham Taylor, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3385 Potomac Way, Idaho Falls, ID 83404 Phone: 208-522-7246 |
Chloe Olivia Seegmiller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3500 Potomac Way Ste 100, Idaho Falls, ID 83404 Phone: 208-522-7666 Fax: 208-524-2821 |
Tina Marie Murdock, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3111 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-0067 |
Lee S Gardner, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2725 Channing Way, Idaho Falls, ID 83404 Phone: 208-525-8448 Fax: 208-525-8118 |
Johnathon Chase Wilde, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3820 Crestwood Ln, Idaho Falls, ID 83404 Phone: 208-552-7700 |
David Landen Day, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2985 Cortez Ave, Idaho Falls, ID 83404 Phone: 208-523-3373 Fax: 208-523-8746 |