| Stephen M Williams, PAC | |
|
425 Idaho Street, Gooding, ID 83330 | |
| (208) 934-5900 | |
| (208) 934-5719 |
| Full Name | Stephen M Williams |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 425 Idaho Street, Gooding, 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 |
|---|---|---|---|
| 1699856344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA628 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Idaho Home Health & Hospice | Twin falls, ID | Home health agency |
| North Canyon Medical Center | Gooding, ID | Hospital |
| Intermountain Health Cassia Regional Hospital | Burley, ID | Hospital |
| St Luke's Magic Valley Rmc | Twin falls, ID | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dandg Medical Associates Pllc | 6709140510 | 16 |
| Associates In Family Practice Inc | 2163330325 | 4 |
| Entity Name | Associates in Family Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326002650 PECOS PAC ID: 2163330325 Enrollment ID: O20040128000830 |
| Entity Name | D&g Medical Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669975900 PECOS PAC ID: 6709140510 Enrollment ID: O20180502002728 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen M Williams, PAC Po Box 447, Gooding, ID 83330 Ph: (208) 934-5900 | Stephen M Williams, PAC 425 Idaho Street, Gooding, ID 83330 Ph: (208) 934-5900 |
Jason Davis, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 267 N Canyon Dr, Gooding, ID 83330 Phone: 208-934-4446 Fax: 208-934-4442 |
Mr. Matthew Frank Ivie, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 267 N Canyon Dr, Gooding, ID 83330 Phone: 208-934-4433 |
Mr. Austin Heath Rasmussen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 637 Pine St, Gooding, ID 83330 Phone: 208-934-8390 |
Mr. Benjamin Don Burtenshaw, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 267 N Canyon Dr, Gooding, ID 83330 Phone: 208-934-4433 |
Alicia Jean Cardona, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 267 N Canyon Dr, Gooding, ID 83330 Phone: 208-934-4446 Fax: 208-934-4442 |
Sierra Ann Oyler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 267 N Canyon Dr, Gooding, ID 83330 Phone: 208-934-4433 |
Carolyn Elizabeth Felter, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 267 N Canyon Dr, Gooding, ID 83330 Phone: 208-934-4433 |