| Thomas Wayne Tryon, PA | |
|
206 E Elm St, Caldwell, ID 83605-4815 | |
| (208) 459-4511 | |
| (208) 459-6602 |
| Full Name | Thomas Wayne Tryon |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 24 Years |
| Location | 206 E Elm St, Caldwell, 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 |
|---|---|---|---|
| 1205885092 | NPI | - | NPPES |
| 806483200 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA414 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Treasure Valley Hospital | Boise, ID | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Direct Orthopedic Care Llc | 2163648155 | 32 |
| Entity Name | Direct Orthopedic Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356769434 PECOS PAC ID: 2163648155 Enrollment ID: O20140729000161 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Wayne Tryon, PA 1031 W Yosemite Dr, Meridian, ID 83642-2598 Ph: (208) 898-0845 | Thomas Wayne Tryon, PA 206 E Elm St, Caldwell, ID 83605-4815 Ph: (208) 459-4511 |
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 |
Cameron Gregory Davis, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 E Elm St Ste 100, Caldwell, ID 83605 Phone: 208-302-7150 |
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 |
Josiah Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 512 E Elm St, Caldwell, ID 83605 Phone: 208-370-7004 |