| Trevor J Crapo, PA | |
|
1906 Fairview Ave Ste 430, Caldwell, ID 83605-5424 | |
| (208) 302-7450 | |
| (208) 302-7192 |
| Full Name | Trevor J Crapo |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1906 Fairview Ave Ste 430, Caldwell, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285105544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA-1684 (Idaho) | Primary |
| Entity Name | Saint Alphonsus Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
| Entity Name | Saint Alphonsus Medical Center- Ontario Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093034159 PECOS PAC ID: 1456488899 Enrollment ID: O20120229000024 |
| Mailing Address | Practice Location Address |
|---|---|
| Trevor J Crapo, PA Po Box 190930, Boise, ID 83719-0930 Ph: (208) 302-7100 | Trevor J Crapo, PA 1906 Fairview Ave Ste 430, Caldwell, ID 83605-5424 Ph: (208) 302-7450 |
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 |
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 |
Thomas Wayne Tryon, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 206 E Elm St, Caldwell, ID 83605 Phone: 208-459-4511 Fax: 208-459-6602 |
Josiah Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 512 E Elm St, Caldwell, ID 83605 Phone: 208-370-7004 |