| Kent Lyle Shippen, PA | |
|
283 N 1st E, Driggs, ID 83422-5109 | |
| (208) 354-2302 | |
| (208) 354-8392 |
| Full Name | Kent Lyle Shippen |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 283 N 1st E, Driggs, 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 |
|---|---|---|---|
| 1942379003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-617 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Dermatology Of Wyoming, Inc | 7517253750 | 3 |
| Mailing Address | Practice Location Address |
|---|---|
| Kent Lyle Shippen, PA 283 N 1st E, Driggs, ID 83422-5109 Ph: (208) 354-2302 | Kent Lyle Shippen, PA 283 N 1st E, Driggs, ID 83422-5109 Ph: (208) 354-2302 |
Mrs. Anna Mccamy Gunderson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 120 E Howard St, Driggs, ID 83422 Phone: 208-354-2302 Fax: 208-354-2829 | |
Troy D Weston, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 120 E Howard St, Teton Valley Health Care, Driggs, ID 83422 Phone: 208-354-6302 Fax: 208-354-3158 | |
Michael Ray Haskell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 120 East Howard Avenue, Teton Valley Health Care, Driggs, ID 83422 Phone: 208-354-6302 Fax: 208-354-3158 | |
Michelle Norma Stone, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 120 E Howard Ave, Driggs, ID 83422 Phone: 208-354-2383 | |
Mr. David A Saurman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 120 East Howard Avenue, Teton Valley Health Care, Driggs, ID 83422 Phone: 208-354-6302 Fax: 208-354-3158 |