| Joseph W Petrie, PA | |
|
431 E. Main St., #994, Challis, ID 83226 | |
| (208) 833-3773 | |
| (833) 839-1175 |
| Full Name | Joseph W Petrie |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 431 E. Main St., Challis, 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 |
|---|---|---|---|
| 1851721401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-1129 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Steele Memorial Medical Center | Salmon, ID | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Petrie Family Enterprises Pc | 2163872029 | 2 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph W Petrie, PA 431 E. Main St., #994, Challis, ID 83226 Ph: (208) 833-1313 | Joseph W Petrie, PA 431 E. Main St., #994, Challis, ID 83226 Ph: (208) 833-3773 |
Mr. Kenneth Henry Hyatt, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Clinic Road, Challis, ID 83226 Phone: 208-879-4351 Fax: 208-879-5216 | |
Breeann Marie Petrie, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 431 E. Main St. #994, Challis, ID 83226 Phone: 208-833-1313 Fax: 833-839-1195 | |
Mr. Matthew Chad Banks, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 611 Clinic Rd, Challis, ID 83226 Phone: 208-879-4351 Fax: 208-879-5216 | |
Stephen Max Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 611 Clinic Road, Challis, ID 83226 Phone: 208-879-4351 Fax: 208-879-5216 | |
Thomas Daniel Fife, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 611 Clinic Rd, Challis, ID 83226 Phone: 208-879-4351 Fax: 208-879-5216 | |
Miles Alan Haeberle, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 611 Clinic Rd, Challis, ID 83226 Phone: 208-879-4351 Fax: 208-879-5216 |