| Tea Hasanovic, PA-C | |
|
2101 N Whitley Dr, Fruitland, ID 83619-2132 | |
| (208) 452-5999 | |
| Not Available |
| Full Name | Tea Hasanovic |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 2101 N Whitley Dr, Fruitland, 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 |
|---|---|---|---|
| 1073119780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-1978 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Snake River Dermatology, Pa | 7517944937 | 4 |
| Entity Name | Snake River Dermatology, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528263670 PECOS PAC ID: 7517944937 Enrollment ID: O20040702000944 |
| Mailing Address | Practice Location Address |
|---|---|
| Tea Hasanovic, PA-C 2101 N Whitley Dr, Fruitland, ID 83619-2132 Ph: (208) 452-5999 | Tea Hasanovic, PA-C 2101 N Whitley Dr, Fruitland, ID 83619-2132 Ph: (208) 452-5999 |
Thomas Landon Helm, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1210 Nw 16th St, Fruitland, ID 83619 Phone: 208-452-8600 Fax: 208-452-8601 |
George J Roth, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1210 Nw 16th St, Fruitland, ID 83619 Phone: 208-452-8600 Fax: 208-452-8601 |
Charles Edward Brioschi Jr., PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 910 Nw 16th Street, Ste 205, Fruitland, ID 83619 Phone: 208-452-3111 Fax: 208-452-3666 |
Jaclyn R Hope, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1210 Nw 16th St, Fruitland, ID 83619 Phone: 208-452-8600 |
Thad W Wilkey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2101 N Whitley Dr, Fruitland, ID 83619 Phone: 208-452-5999 Fax: 208-452-4499 |
Mrs. Crysta Kimes, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 910 Nw 16th St Ste 101, Fruitland, ID 83619 Phone: 208-452-8000 |
Joseph E Molloy, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1210 Nw 16th St, Fruitland, ID 83619 Phone: 208-452-8700 Fax: 208-452-8701 |