| Hayden Wheatley, PA-C | |
|
402 6th St, Rupert, ID 83350-1619 | |
| (208) 650-7941 | |
| Not Available |
| Full Name | Hayden Wheatley |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 402 6th St, Rupert, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336990514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-2732 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Hayden Wheatley, PA-C 402 6th St, Rupert, ID 83350-1619 Ph: (208) 650-7941 | Hayden Wheatley, PA-C 402 6th St, Rupert, ID 83350-1619 Ph: (208) 650-7941 |
Victoria Rose Vega, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 402 6th St, Rupert, ID 83350 Phone: 208-650-7941 | |
Jared Brent Keller, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 402 6th St, Rupert, ID 83350 Phone: 208-650-7941 Fax: 208-436-0735 |