| John Urrutia, PAC | |
|
176 Falls Avenue, Twin Falls, ID 83301 | |
| (208) 733-3181 | |
| (208) 733-3168 |
| Full Name | John Urrutia |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 176 Falls Avenue, Twin Falls, 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 |
|---|---|---|---|
| 1831290097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA336 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Magic Valley Rmc | Twin falls, ID | Hospital |
| St Luke's Wood River Medical Center | Ketchum, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sipi Clinic Llc | 5890167233 | 6 |
| St Lukes Clinic Llc | 1052217478 | 313 |
| Entity Name | St Lukes Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
| Entity Name | Family Health Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033165550 PECOS PAC ID: 7012815038 Enrollment ID: O20040216000531 |
| Entity Name | Sipi Ambulatory Surgery Center |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1518272087 PECOS PAC ID: 8426240664 Enrollment ID: O20101006001183 |
| Entity Name | Sipi Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780398586 PECOS PAC ID: 5890167233 Enrollment ID: O20230210000802 |
| Mailing Address | Practice Location Address |
|---|---|
| John Urrutia, PAC 176 Falls Avenue, Twin Falls, ID 83301 Ph: (208) 733-3181 | John Urrutia, PAC 176 Falls Avenue, Twin Falls, ID 83301 Ph: (208) 733-3181 |
Ryan Dennis Hodges, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 388 Martin St, Twin Falls, ID 83301 Phone: 208-734-0451 Fax: 208-734-0452 |
Heather Mcdonald Nope, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 243 Cheney Dr W Ste 200, Twin Falls, ID 83301 Phone: 208-736-7422 |
Robert J Reeve, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1552 Addison Ave E, Ste A2, Twin Falls, ID 83301 Phone: 208-739-9961 Fax: 208-739-9962 |
Mrs. Kimberly Dolecheck Tverdy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 203, Twin Falls, ID 83301 Phone: 208-814-8300 |
John Laurent Etcheto, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 176 Falls Avenue, Twin Falls, ID 83301 Phone: 208-733-3181 Fax: 208-733-3168 |
Mindy L Brown, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Suite 3810, Twin Falls, ID 83301 Phone: 208-814-8500 Fax: 208-734-4143 |
Abelardo Benitez, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 794 Eastland Dr, Twin Falls, ID 83301 Phone: 208-734-3312 Fax: 208-734-5036 |