| Mark Frederick Ackerman, PAC | |
|
1055 Riverside Ave, Orofino, ID 83544-9029 | |
| (208) 476-4555 | |
| (208) 476-5385 |
| Full Name | Mark Frederick Ackerman |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 36 Years |
| Location | 1055 Riverside Ave, Orofino, Idaho |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710093612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-392 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Clearwater Valley Hospital & Clinics | Orofino, ID | Hospital |
| Gritman Medical Center | Moscow, ID | Hospital |
| Garfield County Memorial Hospital | Pomeroy, WA | Hospital |
| St Joseph Regional Medical Center | Lewiston, ID | Hospital |
| St Mary's Hospital | Cottonwood, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Garfield County Memorial Hospital District | 2668360769 | 9 |
| Entity Name | Garfield County Memorial Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114028693 PECOS PAC ID: 2668360769 Enrollment ID: O20040309001450 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Frederick Ackerman, PAC 301 Cedar St, Orofino, ID 83544-9029 Ph: (208) 476-4555 | Mark Frederick Ackerman, PAC 1055 Riverside Ave, Orofino, ID 83544-9029 Ph: (208) 476-4555 |
William Edward Caldwell Iii, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1055 Riverside Ave, Orofino, ID 83544 Phone: 208-476-5777 |
Alexa Brooks, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 300 Hospital Dr, Orofino, ID 83544 Phone: 208-476-4511 |
Suzanne Rose Kangas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 301 Cedar St, Orofino, ID 83544 Phone: 208-476-5777 |