| Marlo Pichardo, PAC | |
|
408 S Eagle Rd Ste 205, Eagle, ID 83616-6079 | |
| (208) 740-8797 | |
| (530) 237-0772 |
| Full Name | Marlo Pichardo |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 408 S Eagle Rd Ste 205, Eagle, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699842021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9102903 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA-1898 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Marlo Pichardo, PAC 408 S Eagle Rd Ste 205, Eagle, ID 83616-6079 Ph: (208) 740-8797 | Marlo Pichardo, PAC 408 S Eagle Rd Ste 205, Eagle, ID 83616-6079 Ph: (208) 740-8797 |
Caden Johnson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2025 E Riverside Dr Ste 160, Eagle, ID 83616 Phone: 208-900-9500 | |
Mr. Sean Michael Lawson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3101 E State St, Eagle, ID 83616 Phone: 208-473-3100 | |
Christa Inzercastillo, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1281 E Iron Eagle Dr, Eagle, ID 83616 Phone: 208-939-5535 | |
Rebekah Dianne Cutler, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2025 E Riverside Dr Ste 160, Eagle, ID 83616 Phone: 208-900-9500 | |
Amber Ann Hackenberg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 323 E Riverside Drive, Ste 224, Eagle, ID 83616 Phone: 208-302-6000 Fax: 208-302-6055 | |
Bradley Morris, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3217 W Bavaria St, Eagle, ID 83616 Phone: 208-286-6676 | |
Kristen Leenhouts, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2582 N Eagle Rd, Eagle, ID 83616 Phone: 208-501-6146 |