| Sandra Kasumovic, PA-C | |
|
2716 Syringa Ln, Caldwell, ID 83605-3052 | |
| (208) 477-1223 | |
| Not Available |
| Full Name | Sandra Kasumovic |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 2716 Syringa Ln, Caldwell, 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 |
|---|---|---|---|
| 1780009506 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gold Standard Medical Group Pc | 2961762554 | 32 |
| Entity Name | Drx Paramus, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316272685 PECOS PAC ID: 2466589585 Enrollment ID: O20100422000051 |
| Entity Name | Gold Standard Medical Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043722853 PECOS PAC ID: 2961762554 Enrollment ID: O20180130000735 |
| Entity Name | Ihpnj ER LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225750946 PECOS PAC ID: 3870963168 Enrollment ID: O20230103000314 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Kasumovic, PA-C 3 Makin Ln, Succasunna, NJ 07876-1111 Ph: (208) 850-5111 | Sandra Kasumovic, PA-C 2716 Syringa Ln, Caldwell, ID 83605-3052 Ph: (208) 477-1223 |
Heather Hoewing, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1906 Fairview Ave, Ste 230, Caldwell, ID 83605 Phone: 208-429-4667 Fax: 208-442-6520 |
Hodaka Paul Abe, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 206 E Elm St, Caldwell, ID 83605 Phone: 208-459-4511 Fax: 208-459-6602 |
Jason Weaver, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2609 S 10th Ave, Caldwell, ID 83605 Phone: 208-454-2771 |
Michelle Stoddard, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 712 Aviation Way, Caldwell, ID 83605 Phone: 208-302-7150 Fax: 208-302-7155 |
Ms. Janet E Mitchell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4521 Thomas Jefferson St, Caldwell, ID 83605 Phone: 208-454-4820 |
Thomas Wayne Tryon, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 206 E Elm St, Caldwell, ID 83605 Phone: 208-459-4511 Fax: 208-459-6602 |
Josiah Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 512 E Elm St, Caldwell, ID 83605 Phone: 208-370-7004 |