| John Douglas Trueblood, PAC | |
|
701 Lewiston Street, Cottonwood, ID 83522 | |
| (208) 962-3267 | |
| (208) 962-3722 |
| Full Name | John Douglas Trueblood |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 701 Lewiston Street, Cottonwood, 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 |
|---|---|---|---|
| 1629047931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA16906 (California) | Secondary |
| 363A00000X | Physician Assistant | PA1623 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Syringa General Hospital Hospice | Grangeville, ID | Hospice |
| St Marys Hospital And Clinics | Cottonwood, ID | Hospital |
| St Joseph Regional Medical Center | Lewiston, ID | Hospital |
| Clearwater Valley Hospital & Clinics | Orofino, ID | Hospital |
| Tri-state Memorial Hospital | Clarkston, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Mary's Hospital, Inc. | 5092773168 | 13 |
| Mailing Address | Practice Location Address |
|---|---|
| John Douglas Trueblood, PAC 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 962-3251 | John Douglas Trueblood, PAC 701 Lewiston Street, Cottonwood, ID 83522 Ph: (208) 962-3267 |
John Beeh, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 701 Lewiston St, Cottonwood, ID 83522 Phone: 208-962-3251 Fax: 208-962-2313 | |
Andrea Krogh, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 701 Lewiston Street, Cottonwood, ID 83522 Phone: 208-962-3267 Fax: 208-962-2313 |