| Vincent Fibelstad, PA | |
|
415 6th St, Lewiston, ID 83501-2431 | |
| (208) 743-2511 | |
| (208) 799-5554 |
| Full Name | Vincent Fibelstad |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 415 6th St, Lewiston, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184762825 | NPI | - | NPPES |
| HBNA1 | Other | ID | IDAHO BLUE CROSS |
| 10017690 | Other | ID | REGENCE OF IDAHO |
| 8118705 | Medicaid | WA | |
| 10017689 | Other | ID | REGENCE OF ID URGENT CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-02 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Vincent Fibelstad, PA 415 6th St, Lewiston, ID 83501-2431 Ph: (208) 743-2511 | Vincent Fibelstad, PA 415 6th St, Lewiston, ID 83501-2431 Ph: (208) 743-2511 |
Christopher V Ricketts, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-799-5280 | |
Candice Ketelsen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1203 Idaho St, Lewiston, ID 83501 Phone: 208-848-8300 | |
Mr. Gregory Robert Obray, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 320 Warner Dr, Lewiston Orthopaedics, Lewiston, ID 83501 Phone: 208-743-3523 | |
Breanne L Lybyer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Ms. Laura Marie Gifford, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 | |
Mr. Nicholas Tieu, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 |