| Dr Patrick Jon Bartos, PSYD, MSCP | |
|
412 S 3rd St Apt 604, Boise, ID 83702-7625 | |
| (503) 927-2155 | |
| (503) 386-2295 |
| Full Name | Dr Patrick Jon Bartos |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Prescribing (medical) |
| Location | 412 S 3rd St Apt 604, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881972610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2076 (Oregon) | Secondary |
| 103TP0016X | Psychologist - Prescribing (medical) | PSY-203389 (Idaho) | Primary |
| Entity Name | Idaho State University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952474777 PECOS PAC ID: 4688683030 Enrollment ID: O20060412000292 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Patrick Jon Bartos, PSYD, MSCP 412 S 3rd St Apt 604, Boise, ID 83702-7625 Ph: (503) 927-2155 | Dr Patrick Jon Bartos, PSYD, MSCP 412 S 3rd St Apt 604, Boise, ID 83702-7625 Ph: (503) 927-2155 |
Dr. Barbara Alison Minton, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1403 W Franklin St, Boise, ID 83702 Phone: 208-867-4048 | |
Dr. Winslow Gregory Gerrish, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 Fax: 208-375-2217 | |
Dr. Ann Decker Trotter, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise, ID 83702 Phone: 208-422-1000 | |
Andrea Zambukos, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3324 Elder St., Boise, ID 83705 Phone: 208-333-0008 | |
Mark E. Snow, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 311 N. Allumbaugh St, Boise, ID 83704 Phone: 208-375-6402 Fax: 208-323-1850 | |
Dr. Christine Dee Isaacs, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1310 W Hays St, Boise, ID 83702 Phone: 208-343-4208 | |
Dr. Russell Andrew Mccann, Psychologist Medicare: Medicare Enrolled Practice Location: 444 W Fort St Fl 2, Boise, ID 83702 Phone: 208-422-1018 |