| Kristi L Grigg, PA-C | |
|
167 E 1st S, Rigby, ID 83442-1401 | |
| (208) 745-8747 | |
| (208) 745-9396 |
| Full Name | Kristi L Grigg |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 167 E 1st S, Rigby, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831118801 | NPI | - | NPPES |
| PA-467 | Other | ID | STATE LICENSE |
| 806708000 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA467 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mountain View Hospital | Idaho falls, ID | Hospital |
| Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
| Idaho Falls Community Hospital, Llc | Idaho falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain View Hospital Llc | 4486562774 | 272 |
| 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 | Teton Medical Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154502615 PECOS PAC ID: 1759470172 Enrollment ID: O20071207000402 |
| Entity Name | Community Care West Side LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295009785 PECOS PAC ID: 3678738218 Enrollment ID: O20120703000554 |
| Entity Name | CC Pocatello LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538517156 PECOS PAC ID: 8527353176 Enrollment ID: O20160822003018 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristi L Grigg, PA-C 167 E 1st S, Rigby, ID 83442-1401 Ph: (208) 745-8747 | Kristi L Grigg, PA-C 167 E 1st S, Rigby, ID 83442-1401 Ph: (208) 745-8747 |
Stephen L. Richins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 711 Rigby Lake Dr, Ste. 114, Rigby, ID 83442 Phone: 208-234-1300 Fax: 208-234-1333 |
Adam Robert Blakeman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 711 Rigby Lake Dr Ste 115, Rigby, ID 83442 Phone: 208-745-5021 |
Mr. Quinn Donald Ranson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 703 Rigby Lake Dr, Rigby, ID 83442 Phone: 208-745-0200 Fax: 208-745-0212 |
Melissa M Davenport, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 167 E 1st S, Rigby, ID 83442 Phone: 208-745-8747 Fax: 208-745-9396 |
Paige Shalae Warner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 711 Rigby Lake Dr Ste 1500, Rigby, ID 83442 Phone: 208-745-5021 |
Devri Burnell, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 167 E 1st S, Rigby, ID 83442 Phone: 208-745-8747 |
Karen Del Rosario Silva Hardin, Physician Assistant Medicare: Medicare Enrolled Practice Location: 290 W 1st S, Rigby, ID 83442 Phone: 208-290-0217 |