| Mr Michael Robert Nieraeth, PA | |
|
8854 W Emerald St Ste 102, Boise, ID 83704 | |
| (208) 323-4747 | |
| (208) 323-4848 |
| Full Name | Mr Michael Robert Nieraeth |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 8854 W Emerald St Ste 102, Boise, 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 |
|---|---|---|---|
| 1487904280 | NPI | - | NPPES |
| 1487904280 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA-993 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Treasure Valley Hospital | Boise, ID | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| St Luke's Wood River Medical Center | Ketchum, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Shoulder Clinic Of Idaho Pllc | 5698860021 | 6 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Robert Nieraeth, PA 8854 W Emerald St Ste 102, Boise, ID 83704-4845 Ph: (208) 323-4747 | Mr Michael Robert Nieraeth, PA 8854 W Emerald St Ste 102, Boise, ID 83704 Ph: (208) 323-4747 |
Brittany Guthrie, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1072 N Liberty Street, Ste 303, Boise, ID 83704 Phone: 208-302-4400 Fax: 208-302-4255 | |
Polina Kokoulina, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 N Liberty St, Ste 101, Boise, ID 83704 Phone: 208-367-5050 Fax: 208-367-5151 | |
Natalie Marie Hague, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 E Warm Springs Ave Ste B, Boise, ID 83712 Phone: 208-381-6930 Fax: 208-381-6931 | |
Micah Ray Tobin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10583 W Lake Hazel Rd, Boise, ID 83709 Phone: 208-302-5950 Fax: 208-302-5955 | |
Jason H. Mcbride, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-3131 | |
Patrick B Mccabe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1188 W University Dr, Boise, ID 83706 Phone: 208-336-8250 Fax: 208-345-9514 | |
Thomas F Douthit, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 N. Liberty St., Suite 400, Boise, ID 83704 Phone: 208-367-3320 Fax: 208-367-7474 |