Mr Phillip E Stevenson, PA-C | |
1441 Ne 10th Ave, Payette, ID 83661-5420 | |
(208) 642-9376 | |
(208) 642-9598 |
Full Name | Mr Phillip E Stevenson |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 16 Years |
Location | 1441 Ne 10th Ave, Payette, 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 |
---|---|---|---|
1871744425 | NPI | - | NPPES |
808211700 | Medicaid | ID | |
808211701 | Medicaid | ID | |
808211702 | Medicaid | ID | |
012345 | Other | ID | LICENSE PENDING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PENDING (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sciuridae Boyz Pllc | 4880043678 | 12 |
St Lukes Clinic Llc | 1052217478 | 297 |
Mailing Address | Practice Location Address |
---|---|
Mr Phillip E Stevenson, PA-C 1441 Ne 10th Ave, Payette, ID 83661-5420 Ph: (208) 642-9376 | Mr Phillip E Stevenson, PA-C 1441 Ne 10th Ave, Payette, ID 83661-5420 Ph: (208) 642-9376 |
Katee Jo Rodriguez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1441 Ne 10th Ave, Payette, ID 83661 Phone: 208-642-9376 Fax: 208-642-9598 | |
Ryan Willmore, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1441 Ne 10th Ave, Payette, ID 83661 Phone: 208-642-9376 Fax: 208-642-9598 |