| James L Blaine, PA-C | |
|
1448 E Center St Ste E, Pocatello, ID 83201-4132 | |
| (208) 234-1300 | |
| (208) 234-1333 |
| Full Name | James L Blaine |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 1448 E Center St Ste E, Pocatello, 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 |
|---|---|---|---|
| 1801963459 | NPI | - | NPPES |
| 1801963459 | Medicaid | ID | |
| 1667204 | Other | ID | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA-353 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Portneuf Medical Center | Pocatello, ID | Hospital |
| Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
| Mountain View Hospital | Idaho falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arthritis Specialty Center,inc | 3274632807 | 6 |
| Entity Name | Mountain View Hospital LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
| Entity Name | Arthritis Specialty Center,inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801989454 PECOS PAC ID: 3274632807 Enrollment ID: O20070622000454 |
| Entity Name | Community Care West Side LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295009785 PECOS PAC ID: 3678738218 Enrollment ID: O20120703000554 |
| Entity Name | River View Urgent Care & Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790043693 PECOS PAC ID: 6901056555 Enrollment ID: O20121017000548 |
| Entity Name | Urgent Care of Idaho LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538578687 PECOS PAC ID: 8527381136 Enrollment ID: O20150106000297 |
| Entity Name | CC Pocatello LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538517156 PECOS PAC ID: 8527353176 Enrollment ID: O20160822003018 |
| Entity Name | Ridgeline Medical LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386110963 PECOS PAC ID: 5092054551 Enrollment ID: O20190227001380 |
| Mailing Address | Practice Location Address |
|---|---|
| James L Blaine, PA-C 1448 E Center St Ste E, Pocatello, ID 83201-4132 Ph: (208) 234-1300 | James L Blaine, PA-C 1448 E Center St Ste E, Pocatello, ID 83201-4132 Ph: (208) 234-1300 |
Alyssa M Woodbury, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1226 Fax: 208-239-3671 |
Shannon Alison Webb, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 |
Mrs. Helena M. B. Rizor, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1448 E Center St, Pocatello, ID 83201 Phone: 208-234-1300 Fax: 208-234-1333 |
Shelby J Worthington, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1224 Palmer Ln, Pocatello, ID 83201 Phone: 208-650-0677 |
Gabrielle Abernathy, Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 S 11th Ave Ste 100, Pocatello, ID 83201 Phone: 208-232-6214 |
Shad Carl Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1151 Hospital Way Bldg A, Pocatello, ID 83201 Phone: 208-232-6616 Fax: 208-232-6618 |
Mr. Michael John Doyle, PA-C(PHYS ASST) Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 921 S 8th Ave Stop 8311, Pocatello, ID 83209 Phone: 208-282-2330 Fax: 208-282-4036 |