| Mr Matthew Valley, PA-C | |
|
1605 E Riverside Dr, Eagle, ID 83616-6237 | |
| (208) 939-6227 | |
| (208) 939-6442 |
| Full Name | Mr Matthew Valley |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 1605 E Riverside Dr, Eagle, 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 |
|---|---|---|---|
| 1447483086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA-809 (Idaho) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA-809 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Keller Skin And Cancer Care Pc | 2769647759 | 4 |
| Entity Name | Keller Skin & Cancer Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649543323 PECOS PAC ID: 2769647759 Enrollment ID: O20120625000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Matthew Valley, PA-C 1605 E Riverside Dr, Eagle, ID 83616-6237 Ph: (208) 939-6227 | Mr Matthew Valley, PA-C 1605 E Riverside Dr, Eagle, ID 83616-6237 Ph: (208) 939-6227 |
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 |