| Megan Martinson, | |
|
207 E 12th St, Emmett, ID 83617-3626 | |
| (208) 365-1065 | |
| (208) 365-1068 |
| Full Name | Megan Martinson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 207 E 12th St, Emmett, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295281541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | APPLIED FOR (Idaho) | Secondary |
| 363A00000X | Physician Assistant | PA-1401 (Idaho) | Primary |
| Entity Name | Valley Family Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407886484 PECOS PAC ID: 0547169591 Enrollment ID: O20040108000205 |
| Entity Name | Saint Alphonsus Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
| Mailing Address | Practice Location Address |
|---|---|
| Megan Martinson, 1441 Ne 10th Ave, Payette, ID 83661-5420 Ph: (208) 642-9376 | Megan Martinson, 207 E 12th St, Emmett, ID 83617-3626 Ph: (208) 365-1065 |
Mr. Kodie Thomas, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2086 Picket Ln, Emmett, ID 83617 Phone: 208-369-1276 |
Ryan Atwood, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 207 E 12th St, Emmett, ID 83617 Phone: 208-365-1065 Fax: 208-365-1068 |
Ms. Desiree Darlene Reid, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1102 E Locust St, Emmett, ID 83617 Phone: 208-365-6004 |
Paden Gonzales, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 207 E 12th St, Emmett, ID 83617 Phone: 208-365-1065 |
Sara Marie Williams, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 207 E 12th St, Emmett, ID 83617 Phone: 208-365-1065 Fax: 208-365-1068 |
Ms. Michele Miles, PA-C,MS Physician Assistant Medicare: Medicare Enrolled Practice Location: 2001 E Quail Run Rd, Emmett, ID 83617 Phone: 208-365-7131 Fax: 208-365-4464 |
Mr. David M. Shuey Ii, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1102 E Locust St, Emmett, ID 83617 Phone: 208-365-6004 Fax: 208-365-3589 |