| Tish D Davis, PA-C | |
|
2235 E Gala St, Meridian, ID 83642-8026 | |
| (208) 887-3724 | |
| (208) 887-1682 |
| Full Name | Tish D Davis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 2235 E Gala St, Meridian, 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 |
|---|---|---|---|
| 1548201007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA1576 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| St Luke's Nampa Medical Center | Nampa, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Idaho Gastroenterology Associates Llp | 6002708773 | 35 |
| Entity Name | Idaho Gastroenterology Associates LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265427256 PECOS PAC ID: 6002708773 Enrollment ID: O20040326001143 |
| Mailing Address | Practice Location Address |
|---|---|
| Tish D Davis, PA-C 425 W Bannock St, Boise, ID 83702-6035 Ph: (208) 343-1702 | Tish D Davis, PA-C 2235 E Gala St, Meridian, ID 83642-8026 Ph: (208) 887-3724 |
Claire Magnolo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3399 E Louise Dr Ste 400, Meridian, ID 83642 Phone: 208-706-4650 Fax: 208-706-4651 |
Mr. Benjamin Watson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd, Suite 1234, Meridian, ID 83642 Phone: 661-332-9138 |
Sis E Ostolasa, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3025 W Cherry Lane, Ste B, Meridian, ID 83642 Phone: 208-302-6450 Fax: 208-302-6455 |
Mr. Alexander J Arhets, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1618 S Millenium Way Ste 100, Meridian, ID 83642 Phone: 208-884-3376 Fax: 208-884-0858 |
Wesley J Rowlette, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1209 N Summerbrook Ave Ste 100, Meridian, ID 83642 Phone: 208-938-5823 Fax: 208-938-5306 |
Brent D. Kooy, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3015 E Magic View Dr, Meridian, ID 83642 Phone: 208-482-5550 Fax: 208-482-5555 |
Sari Bianca Lavarias, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 360 E Montvue Dr, Meridian, ID 83642 Phone: 208-855-2900 Fax: 208-898-9877 |