| Mr Michael Kenneth Wucinich, PA-C | |
|
118 9th Ave N, Twin Falls, ID 83301-6352 | |
| (208) 537-7800 | |
| Not Available |
| Full Name | Mr Michael Kenneth Wucinich |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 118 9th Ave N, Twin Falls, Idaho |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407223274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | PA-1274 (Idaho) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 1274 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Magic Valley Rmc | Twin falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Zxm Psychiatry Pc | 4385061852 | 3 |
| Entity Name | North Canyon Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609046671 PECOS PAC ID: 0941371439 Enrollment ID: O20090409000304 |
| Entity Name | Zxm Psychiatry PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316564891 PECOS PAC ID: 4385061852 Enrollment ID: O20200828001225 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Kenneth Wucinich, PA-C 585 Washington St N, Twin Falls, ID 83301-3802 Ph: (208) 210-4325 | Mr Michael Kenneth Wucinich, PA-C 118 9th Ave N, Twin Falls, ID 83301-6352 Ph: (208) 537-7800 |
Ryan Dennis Hodges, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 388 Martin St, Twin Falls, ID 83301 Phone: 208-734-0451 Fax: 208-734-0452 |
Mr. Bradly Kenneth Leroy Brown, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 725 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1600 Fax: 208-814-1910 |
Heather Mcdonald Nope, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 243 Cheney Dr W Ste 200, Twin Falls, ID 83301 Phone: 208-736-7422 |
Robert J Reeve, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1552 Addison Ave E, Ste A2, Twin Falls, ID 83301 Phone: 208-739-9961 Fax: 208-739-9962 |
Mrs. Kimberly Dolecheck Tverdy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 203, Twin Falls, ID 83301 Phone: 208-814-8300 |
John Laurent Etcheto, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 176 Falls Avenue, Twin Falls, ID 83301 Phone: 208-733-3181 Fax: 208-733-3168 |
Mindy L Brown, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Suite 3810, Twin Falls, ID 83301 Phone: 208-814-8500 Fax: 208-734-4143 |