| Jared Fielding, PA | |
|
2315 8th St, Lewiston, ID 83501-7301 | |
| (208) 298-3094 | |
| (833) 941-3874 |
| Full Name | Jared Fielding |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 2315 8th St, Lewiston, 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 |
|---|---|---|---|
| 1710756325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Catalyst Medical Group Pllc | 2365722105 | 31 |
| St Joseph Hospital Llc | 8325325806 | 91 |
| 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 | Catalyst Medical Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912458787 PECOS PAC ID: 2365722105 Enrollment ID: O20161213001188 |
| Entity Name | St Joseph Hospital LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205368404 PECOS PAC ID: 8325325806 Enrollment ID: O20170606002496 |
| Entity Name | Utah Regional Hospitalists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740715507 PECOS PAC ID: 4789807165 Enrollment ID: O20170811001682 |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Fielding, PA 931 Cypress St, Lewiston, ID 83501-4775 Ph: Not Available | Jared Fielding, PA 2315 8th St, Lewiston, ID 83501-7301 Ph: (208) 298-3094 |
Kayla Faye Cornell, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 320 Warner Dr, Lewiston, ID 83501 Phone: 208-743-3523 |
Christopher V Ricketts, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-799-5280 |
Katelyn Brimhall, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1203 Idaho St, Lewiston, ID 83501 Phone: 208-848-8300 Fax: 509-434-0392 |
Vincent Fibelstad, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-799-5554 |
Breanne L Lybyer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 |
Ms. Laura Marie Gifford, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 |
Mr. Philip Louis Weidner Ii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 320 Warner Dr, Lewiston, ID 83501 Phone: 208-743-3523 Fax: 833-941-3874 |