| Tomas Jon Scoleri, | |
|
775 Pole Line Rd W Ste 213, Twin Falls, ID 83301-5820 | |
| (208) 814-8475 | |
| Not Available |
| Full Name | Tomas Jon Scoleri |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 775 Pole Line Rd W Ste 213, Twin Falls, 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 |
|---|---|---|---|
| 1265167019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | PA-2303 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Magic Valley Rmc | Twin falls, ID | Hospital |
| North Canyon Medical Center | Gooding, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Acute Care Surgery Medical Group Inc | 7214006816 | 205 |
| St Lukes Clinic Llc | 1052217478 | 313 |
| Entity Name | Elliot Adams |
|---|---|
| Entity Type | Practitioner - Vascular Surgery |
| Entity Identifiers | NPI Number: 1033597232 PECOS PAC ID: 3274849625 Enrollment ID: I20220701000506 |
| Entity Name | St Lukes Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
| Entity Name | Acute Care Surgery Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700069549 PECOS PAC ID: 7214006816 Enrollment ID: O20231204001883 |
| Mailing Address | Practice Location Address |
|---|---|
| Tomas Jon Scoleri, 190 E Bannock St, Boise, ID 83712-6241 Ph: Not Available | Tomas Jon Scoleri, 775 Pole Line Rd W Ste 213, Twin Falls, ID 83301-5820 Ph: (208) 814-8475 |
Ryan Dennis Hodges, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 388 Martin St, Twin Falls, ID 83301 Phone: 208-734-0451 Fax: 208-734-0452 |
Heather Mcdonald Nope, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 243 Cheney Dr W Ste 200, Twin Falls, ID 83301 Phone: 208-736-7422 |
Robert J Reeve, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1552 Addison Ave E, Ste A2, Twin Falls, ID 83301 Phone: 208-739-9961 Fax: 208-739-9962 |
Mrs. Kimberly Dolecheck Tverdy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 203, Twin Falls, ID 83301 Phone: 208-814-8300 |
John Laurent Etcheto, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 176 Falls Avenue, Twin Falls, ID 83301 Phone: 208-733-3181 Fax: 208-733-3168 |
Mindy L Brown, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Suite 3810, Twin Falls, ID 83301 Phone: 208-814-8500 Fax: 208-734-4143 |
Abelardo Benitez, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 794 Eastland Dr, Twin Falls, ID 83301 Phone: 208-734-3312 Fax: 208-734-5036 |