| Travis Booke, PA-C | |
|
2500 Fairway St, Dickinson, ND 58601 | |
| (701) 456-4000 | |
| Not Available |
| Full Name | Travis Booke |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 2500 Fairway St, Dickinson, North Dakota |
| 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 |
|---|---|---|---|
| 1801316716 | NPI | - | NPPES |
| 1471770 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi St Alexius Health Dickinson | Dickinson, ND | Hospital |
| Sanford Medical Center Bismarck | Bismarck, ND | Hospital |
| Chi St Alexius Health | Bismarck, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Joseph's Hospital And Health Center | 0547177560 | 157 |
| Entity Name | St. Joseph's Hospital and Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730464108 PECOS PAC ID: 0547177560 Enrollment ID: O20031107000651 |
| Entity Name | St. Joseph's Hospital and Health Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1992947956 PECOS PAC ID: 0547177560 Enrollment ID: O20090429000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Booke, PA-C 2500 Fairway Street, Dickinson, ND 58601-3463 Ph: Not Available | Travis Booke, PA-C 2500 Fairway St, Dickinson, ND 58601 Ph: (701) 456-4000 |
Larissa Ann Kohler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2615 Fairway St, Dickinson, ND 58601 Phone: 701-456-6000 |
Kelsey Violet Luce, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2615 Fairway St, Dickinson, ND 58601 Phone: 701-456-6000 |
Ann Coates, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1531 W Villard St, Dickinson, ND 58601 Phone: 701-225-7575 |
Shad W Brophy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 227 16th St W, Dickinson, ND 58601 Phone: 701-227-7900 Fax: 701-227-7985 |
Robert White, Physician Assistant Medicare: Medicare Enrolled Practice Location: 141 5th St E, Dickinson, ND 58601 Phone: 701-590-9464 |
Jodi Moore, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 47 8th St W, Dickinson, ND 58601 Phone: 701-456-3819 Fax: 701-456-3815 |
Kelly Leah Glick, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 Fairway St, Dickinson, ND 58601 Phone: 701-456-4200 Fax: 701-456-4545 |