| Brent Leavitt, | |
|
4928 Pleasant View Dr, Chubbuck, ID 83202-1640 | |
| (208) 760-9416 | |
| Not Available |
| Full Name | Brent Leavitt |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 4928 Pleasant View Dr, Chubbuck, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740650548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-1299 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Leavitt, 4928 Pleasant View Dr, Chubbuck, ID 83202-1640 Ph: (208) 760-9416 | Brent Leavitt, 4928 Pleasant View Dr, Chubbuck, ID 83202-1640 Ph: (208) 760-9416 |
Renee Lynn Katter, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 4460 Kings Way Ste 3, Chubbuck, ID 83202 Phone: 208-237-3612 Fax: 208-237-5192 | |
Brookelle Smith Gunn, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 880 W Quinn Rd, Chubbuck, ID 83202 Phone: 208-238-2000 | |
Mrs. Rachel M Koster, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4650 Hawthorne Road,, Suite 3b, Chubbuck, ID 83202 Phone: 208-237-9833 | |
Michaela Sophia Butler, PA-S Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4650 Hawthorne Rd Ste 3b, Chubbuck, ID 83202 Phone: 208-252-5621 Fax: 208-648-4167 | |
Mr. Wiley D Petersen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 134 W Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-417-0102 Fax: 208-242-3219 | |
Ryan Daniel Wolfley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4650 Hawthorne Rd Ste 3b, Chubbuck, ID 83202 Phone: 208-252-5621 Fax: 208-648-4167 | |
Ryan T Mcculloch, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 147 W Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-238-7546 Fax: 208-237-9643 |