| Gail Rae Cook, PA | |
|
775 Pole Line Rd W Ste 111, Twin Falls, ID 83301-5819 | |
| (208) 814-8000 | |
| (208) 733-9402 |
| Full Name | Gail Rae Cook |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 775 Pole Line Rd W Ste 111, Twin Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447217955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA-480 (Idaho) | Primary |
| Entity Name | St Lukes Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
| Mailing Address | Practice Location Address |
|---|---|
| Gail Rae Cook, PA 190 E Bannock St, Boise, ID 83712-6241 Ph: Not Available | Gail Rae Cook, PA 775 Pole Line Rd W Ste 111, Twin Falls, ID 83301-5819 Ph: (208) 814-8000 |
Ryan Dennis Hodges, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 388 Martin St, Twin Falls, ID 83301 Phone: 208-734-0451 Fax: 208-734-0452 |
Heather Mcdonald Nope, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 243 Cheney Dr W Ste 200, Twin Falls, ID 83301 Phone: 208-736-7422 |
Robert J Reeve, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1552 Addison Ave E, Ste A2, Twin Falls, ID 83301 Phone: 208-739-9961 Fax: 208-739-9962 |
Mrs. Kimberly Dolecheck Tverdy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 203, Twin Falls, ID 83301 Phone: 208-814-8300 |
John Laurent Etcheto, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 176 Falls Avenue, Twin Falls, ID 83301 Phone: 208-733-3181 Fax: 208-733-3168 |
Mindy L Brown, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Suite 3810, Twin Falls, ID 83301 Phone: 208-814-8500 Fax: 208-734-4143 |
Abelardo Benitez, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 794 Eastland Dr, Twin Falls, ID 83301 Phone: 208-734-3312 Fax: 208-734-5036 |