| Tina Marie Murdock, PA-C | |
|
3111 Channing Way, Idaho Falls, ID 83404-7534 | |
| (208) 529-0067 | |
| Not Available |
| Full Name | Tina Marie Murdock |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 3111 Channing Way, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063205417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 3071155 (Idaho) | Primary |
| Entity Name | Santibanez Pac Idaho |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346015948 PECOS PAC ID: 2961846209 Enrollment ID: O20240215000080 |
| Mailing Address | Practice Location Address |
|---|---|
| Tina Marie Murdock, PA-C 3111 Channing Way, Idaho Falls, ID 83404-7534 Ph: (208) 529-0067 | Tina Marie Murdock, PA-C 3111 Channing Way, Idaho Falls, ID 83404-7534 Ph: (208) 529-0067 |
Mr. Kelly Meacham, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3389 Merlin Dr, Idaho Falls, ID 83404 Phone: 208-552-9831 |
Brigham Taylor, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3385 Potomac Way, Idaho Falls, ID 83404 Phone: 208-522-7246 |
Chloe Olivia Seegmiller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3500 Potomac Way Ste 100, Idaho Falls, ID 83404 Phone: 208-522-7666 Fax: 208-524-2821 |
Lee S Gardner, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2725 Channing Way, Idaho Falls, ID 83404 Phone: 208-525-8448 Fax: 208-525-8118 |
Johnathon Chase Wilde, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3820 Crestwood Ln, Idaho Falls, ID 83404 Phone: 208-552-7700 |
David Landen Day, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2985 Cortez Ave, Idaho Falls, ID 83404 Phone: 208-523-3373 Fax: 208-523-8746 |
Mrs. Monica J Nealis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1550 Elk Creek Dr, Idaho Falls, ID 83404 Phone: 208-529-5942 Fax: 208-529-5951 |