| Scott Michael Astley, PA-C | |
|
8854 W Emerald St Ste 290, Boise, ID 83704-4846 | |
| (208) 296-7500 | |
| (208) 296-7501 |
| Full Name | Scott Michael Astley |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 8854 W Emerald St Ste 290, Boise, 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 |
|---|---|---|---|
| 1255482683 | NPI | - | NPPES |
| P00750757 | Other | CO | RR MEDICARE |
| 1255482683 | Medicaid | ID | |
| 82377774 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 2365 (Colorado) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA-1370 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Treasure Valley Hospital | Boise, ID | Hospital |
| St Luke's Mccall | Mccall, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Idaho Clinic | 5799184362 | 6 |
| Entity Name | Allied Orthopaedics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750563540 PECOS PAC ID: 8325351638 Enrollment ID: O20150715002305 |
| Entity Name | Idaho Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225629074 PECOS PAC ID: 5799184362 Enrollment ID: O20210602000792 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Michael Astley, PA-C 8854 W Emerald St Ste 290, Boise, ID 83704-4846 Ph: (208) 296-7500 | Scott Michael Astley, PA-C 8854 W Emerald St Ste 290, Boise, ID 83704-4846 Ph: (208) 296-7500 |
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 |