| Mrs Samantha Marie Wheeler, PA-C | |
|
1630 23rd Ave Ste 501, Lewiston, ID 83501-6345 | |
| (877) 522-1275 | |
| (833) 888-7145 |
| Full Name | Mrs Samantha Marie Wheeler |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 1630 23rd Ave Ste 501, Lewiston, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629362207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ideal Option Pllc | 6709013105 | 90 |
| Ideal Telemedicine Services Llc | 2860726221 | 47 |
| Ideal Option Pllc | 6709013105 | 90 |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Entity Name | Ideal Option PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457788275 PECOS PAC ID: 6709013105 Enrollment ID: O20131210001184 |
| Entity Name | Ideal Telemedicine Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346754868 PECOS PAC ID: 2860726221 Enrollment ID: O20190716002000 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Samantha Marie Wheeler, PA-C 500 Sw 7th St Ste A205, Renton, WA 98057-2983 Ph: (877) 522-1275 | Mrs Samantha Marie Wheeler, PA-C 1630 23rd Ave Ste 501, Lewiston, ID 83501-6345 Ph: (877) 522-1275 |
Kayla Faye Cornell, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 320 Warner Dr, Lewiston, ID 83501 Phone: 208-743-3523 |
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: Accepting Medicare Assignments 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. Philip Louis Weidner Ii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 320 Warner Dr, Lewiston, ID 83501 Phone: 208-743-3523 Fax: 833-941-3874 |