| Mr Jeremy B Ostermiller, PAC | |
|
320 Warner Drive, Lewiston, ID 83501 | |
| (208) 791-9889 | |
| Not Available |
| Full Name | Mr Jeremy B Ostermiller |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 320 Warner Drive, Lewiston, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437222528 | NPI | - | NPPES |
| 8358517 | Medicaid | WA | |
| 000010142606 | Other | ID | REGENCE |
| PALL2 | Other | ID | BLUE CROSS OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA435 (Idaho) | Primary |
| 363A00000X | Physician Assistant | PA10004462 (Washington) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeremy B Ostermiller, PAC 320 Warner Drive, Lewiston, ID 83501 Ph: (208) 791-9889 | Mr Jeremy B Ostermiller, PAC 320 Warner Drive, Lewiston, ID 83501 Ph: (208) 791-9889 |
Christopher V Ricketts, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-799-5280 | |
Katelyn Brimhall, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1203 Idaho St, Lewiston, ID 83501 Phone: 208-848-8300 Fax: 509-434-0392 | |
Vincent Fibelstad, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-799-5554 | |
Breanne L Lybyer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Ms. Laura Marie Gifford, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 | |
Mr. Nicholas Tieu, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 | |
Ryan Morris, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 425-999-5739 |