| Mr Austen Reis Cardoza, PA-C | |
|
427 N 12th St, Plummer, ID 83851 | |
| (208) 686-1931 | |
| Not Available |
| Full Name | Mr Austen Reis Cardoza |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 427 N 12th St, Plummer, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821766296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1199369 (Washington) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kootenai Health | Coeur d'alene, ID | Hospital |
| Benewah Community Hospital | St maries, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Benewah Medical Center | 6709878622 | 27 |
| Entity Name | Benewah Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336135136 PECOS PAC ID: 6709878622 Enrollment ID: O20040331001566 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Austen Reis Cardoza, PA-C 427 12th Street/ Po Box 388, Plummer, ID 83851 Ph: (208) 686-1931 | Mr Austen Reis Cardoza, PA-C 427 N 12th St, Plummer, ID 83851 Ph: (208) 686-1931 |
Katelyn Hammrich, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 427 12th St, Plummer, ID 83851 Phone: 208-686-1931 Fax: 208-686-5133 |
Tucker Lloyd Larsen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 427 N 12th St., Plummer, ID 83851 Phone: 208-686-1931 |
Joy Katherine Goodwin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 427 12th St, Plummer, ID 83851 Phone: 208-686-1931 |