| James U Blacksher Iii, PAC | |
|
402 Lake Cascade Pkwy, Cascade, ID 83611-7702 | |
| (208) 382-4242 | |
| (208) 382-3580 |
| Full Name | James U Blacksher Iii |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 43 Years |
| Location | 402 Lake Cascade Pkwy, Cascade, 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 |
|---|---|---|---|
| 1760420590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cascade Medical Center | Cascade, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cascade Medical Center Hospital District | 6103739719 | 13 |
| Entity Name | Cascade Medical Center Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003988825 PECOS PAC ID: 6103739719 Enrollment ID: O20040309001351 |
| Entity Name | North Canyon Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609046671 PECOS PAC ID: 0941371439 Enrollment ID: O20090409000304 |
| Mailing Address | Practice Location Address |
|---|---|
| James U Blacksher Iii, PAC Po Box 1330, Cascade, ID 83611-1330 Ph: (208) 382-4242 | James U Blacksher Iii, PAC 402 Lake Cascade Pkwy, Cascade, ID 83611-7702 Ph: (208) 382-4242 |
Mrs. Heather Sue Lewis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 402 Lake Cascade Pkwy, Cascade, ID 83611 Phone: 208-382-4285 Fax: 208-382-5081 |
David Wayne Hill, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 402 Lake Cascade Pkwy, Cascade, ID 83611 Phone: 208-382-4285 Fax: 208-382-5081 |
Courtney Anne Hill, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 402 Lake Cascade Pkwy, Cascade, ID 83611 Phone: 208-382-4285 Fax: 208-382-5081 |