| Victor M Ishida, PA | |
|
910 Nw 16th St Ste 101, Fruitland, ID 83619-2265 | |
| (208) 452-8050 | |
| (208) 452-8055 |
| Full Name | Victor M Ishida |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 28 Years |
| Location | 910 Nw 16th St Ste 101, Fruitland, 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 |
|---|---|---|---|
| 1194894113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA423 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Alphonsus Medical Center Ontario | Ontario, OR | Hospital |
| Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
| Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Alphonsus Regional Medical Center Inc | 3476462359 | 672 |
| Saint Alphonsus Regional Medical Center Inc | 3476462359 | 672 |
| Saint Alphonsus Medical Center- Ontario Inc | 1456488899 | 42 |
| Entity Name | Physicians Primary Care Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649289851 PECOS PAC ID: 2365335056 Enrollment ID: O20040316000896 |
| Entity Name | Saint Alphonsus Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861676298 PECOS PAC ID: 3476462359 Enrollment ID: O20130801000623 |
| Mailing Address | Practice Location Address |
|---|---|
| Victor M Ishida, PA 910 Nw 16th St Ste 101, Fruitland, ID 83619-2265 Ph: (208) 452-8050 | Victor M Ishida, PA 910 Nw 16th St Ste 101, Fruitland, ID 83619-2265 Ph: (208) 452-8050 |
Thomas Landon Helm, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1210 Nw 16th St, Fruitland, ID 83619 Phone: 208-452-8600 Fax: 208-452-8601 |
Tea Hasanovic, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2101 N Whitley Dr, Fruitland, ID 83619 Phone: 208-452-5999 |
George J Roth, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1210 Nw 16th St, Fruitland, ID 83619 Phone: 208-452-8600 Fax: 208-452-8601 |
Charles Edward Brioschi Jr., PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 910 Nw 16th Street, Ste 205, Fruitland, ID 83619 Phone: 208-452-3111 Fax: 208-452-3666 |
Jaclyn R Hope, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1210 Nw 16th St, Fruitland, ID 83619 Phone: 208-452-8600 |
Thad W Wilkey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2101 N Whitley Dr, Fruitland, ID 83619 Phone: 208-452-5999 Fax: 208-452-4499 |
Mrs. Crysta Kimes, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 910 Nw 16th St Ste 101, Fruitland, ID 83619 Phone: 208-452-8000 |