| Robert Todd Gillespie, PA | |
|
220 Bannock St, Suite B, Malad City, ID 83252-1256 | |
| (208) 766-2600 | |
| Not Available |
| Full Name | Robert Todd Gillespie |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 28 Years |
| Location | 220 Bannock St, Malad City, 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 |
|---|---|---|---|
| 1922026467 | NPI | - | NPPES |
| 805203600 | Medicaid | ID | |
| 970011284 | Other | ID | RAILROAD MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA205 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bingham Memorial Hospital | Blackfoot, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bmh Inc | 8426149758 | 124 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Todd Gillespie, PA Po Box 126, Suite B, Malad City, ID 83252-0126 Ph: (208) 766-2231 | Robert Todd Gillespie, PA 220 Bannock St, Suite B, Malad City, ID 83252-1256 Ph: (208) 766-2600 |
Rick C. Clark Jr., PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 220 Bannock St, Suite 306, Malad City, ID 83252 Phone: 208-766-2600 Fax: 208-766-4258 | |
Mel Bingham, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 220 Bannock St, Malad City, ID 83252 Phone: 208-766-2600 Fax: 208-766-4258 | |
Ariel Shantay Avis Taysom, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 220 Bannock St, Malad City, ID 83252 Phone: 208-766-2600 Fax: 208-766-4258 |