| Suzanne Rose Kangas, PA-C | |
|
301 Cedar St, Orofino, ID 83544-9029 | |
| (208) 476-5777 | |
| Not Available |
| Full Name | Suzanne Rose Kangas |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 301 Cedar St, Orofino, 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 |
|---|---|---|---|
| 1871912915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA2273 (Idaho) | Primary |
| 363A00000X | Physician Assistant | 2324 (Alaska) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Clearwater Valley Hospital & Clinics | Orofino, ID | Hospital |
| St Joseph Regional Medical Center | Lewiston, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clearwater Valley Hospital And Clinics | 0547173346 | 27 |
| Entity Name | Clearwater Valley Hospital & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073551396 PECOS PAC ID: 0547173346 Enrollment ID: O20031117000264 |
| Entity Name | St Marys Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841292307 PECOS PAC ID: 5092773168 Enrollment ID: O20050316000814 |
| Entity Name | Clearwater Valley Hospital & Clinics Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1255449013 PECOS PAC ID: 0547173346 Enrollment ID: O20061104000428 |
| Entity Name | St Marys Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1841292307 PECOS PAC ID: 5092773168 Enrollment ID: O20061104000429 |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne Rose Kangas, PA-C 301 Cedar St, Orofino, ID 83544-9029 Ph: (208) 476-5777 | Suzanne Rose Kangas, PA-C 301 Cedar St, Orofino, ID 83544-9029 Ph: (208) 476-5777 |
William Edward Caldwell Iii, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1055 Riverside Ave, Orofino, ID 83544 Phone: 208-476-5777 |
Alexa Brooks, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 300 Hospital Dr, Orofino, ID 83544 Phone: 208-476-4511 |
Mark Frederick Ackerman, PAC Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1055 Riverside Ave, Orofino, ID 83544 Phone: 208-476-4555 Fax: 208-476-5385 |