| Lisa A Bosworth, PA | |
|
1951 Bench Rd Ste B, Pocatello, ID 83201-2073 | |
| (208) 238-1000 | |
| Not Available |
| Full Name | Lisa A Bosworth |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 1951 Bench Rd Ste B, Pocatello, 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 |
|---|---|---|---|
| 1730372756 | NPI | - | NPPES |
| 807835100 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | PA-692 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Portneuf Medical Center | Pocatello, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Practice Group, P.a. | 1658275391 | 13 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa A Bosworth, PA 1951 Bench Rd, Pocatello, ID 83201-2013 Ph: (208) 239-1000 | Lisa A Bosworth, PA 1951 Bench Rd Ste B, Pocatello, ID 83201-2073 Ph: (208) 238-1000 |
Alyssa M Woodbury, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1226 Fax: 208-239-3671 | |
Shannon Alison Webb, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 | |
Mrs. Helena M. B. Rizor, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1448 E Center St, Pocatello, ID 83201 Phone: 208-234-1300 Fax: 208-234-1333 | |
Ms. Kasandra Jo Kister, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 921 S 8th Ave Stop 8253, Pocatello, ID 83209 Phone: 208-282-4726 | |
Gabrielle Abernathy, Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 S 11th Ave Ste 100, Pocatello, ID 83201 Phone: 208-232-6214 | |
Shad Carl Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1151 Hospital Way Bldg A, Pocatello, ID 83201 Phone: 208-232-6616 Fax: 208-232-6618 | |
Mr. Michael John Doyle, PA-C(PHYS ASST) Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 921 S 8th Ave Stop 8311, Pocatello, ID 83209 Phone: 208-282-2330 Fax: 208-282-4036 |