| Randall James Law, PA-C | |
|
2001 S Woodruff Ave Ste 9, Idaho Falls, ID 83404-6371 | |
| (208) 419-3002 | |
| (208) 656-5652 |
| Full Name | Randall James Law |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 2001 S Woodruff Ave Ste 9, Idaho Falls, 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 |
|---|---|---|---|
| 1134647019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 1108 (South Dakota) | Primary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | PA1797 (Idaho) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Complete Family Care Pllc | 9537384557 | 4 |
| Entity Name | Complete Family Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649693649 PECOS PAC ID: 9537384557 Enrollment ID: O20140708001494 |
| Mailing Address | Practice Location Address |
|---|---|
| Randall James Law, PA-C 2001 S Woodruff Ave Ste 9, Idaho Falls, ID 83404-6371 Ph: (208) 419-3002 | Randall James Law, PA-C 2001 S Woodruff Ave Ste 9, Idaho Falls, ID 83404-6371 Ph: (208) 419-3002 |
Noah Bernal, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3614 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-535-4343 |
Mr. Kelly Meacham, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3389 Merlin Dr, Idaho Falls, ID 83404 Phone: 208-552-9831 |
Brigham Taylor, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3385 Potomac Way, Idaho Falls, ID 83404 Phone: 208-522-7246 |
Chloe Olivia Seegmiller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3500 Potomac Way Ste 100, Idaho Falls, ID 83404 Phone: 208-522-7666 Fax: 208-524-2821 |
Tina Marie Murdock, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3111 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-0067 |
Lee S Gardner, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2725 Channing Way, Idaho Falls, ID 83404 Phone: 208-525-8448 Fax: 208-525-8118 |
Johnathon Chase Wilde, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3820 Crestwood Ln, Idaho Falls, ID 83404 Phone: 208-552-7700 |