| Rachel King, PA | |
|
6454 W Emerald St, Boise, ID 83704-8734 | |
| (208) 377-0820 | |
| (208) 375-8046 |
| Full Name | Rachel King |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 6454 W Emerald St, Boise, Idaho |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205826245 | NPI | - | NPPES |
| 000010148622 | Other | ID | BLUE SHIELD |
| PACD0 | Other | ID | BLUE CROSS |
| PAMR8 | Other | ID | BLUE CROSS |
| 807029900 | Medicaid | ID | |
| 000010148623 | Other | ID | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA521 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ada Dermatology P A | 5395833586 | 5 |
| Entity Name | Ada Dermatology P a |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952483299 PECOS PAC ID: 5395833586 Enrollment ID: O20071126000177 |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel King, PA 6454 W Emerald St, Boise, ID 83704-8734 Ph: (208) 377-0820 | Rachel King, PA 6454 W Emerald St, Boise, ID 83704-8734 Ph: (208) 377-0820 |
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 |
Jessica Jerdin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6165 W Emerald St, Boise, ID 83704 Phone: 208-302-3900 Fax: 208-302-3955 |
Kaydon J Lloyd, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 999 N Curtis Rd Ste 415, Boise, ID 83706 Phone: 208-302-2600 Fax: 208-302-2625 |
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: Medicare Enrolled 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 |