| Bryan G Hart, PA | |
|
1072 N Liberty St, Suite 303, Boise, ID 83704-2800 | |
| (208) 367-4035 | |
| (208) 367-7111 |
| Full Name | Bryan G Hart |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 1072 N Liberty St, Boise, 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 |
|---|---|---|---|
| 1518977826 | NPI | - | NPPES |
| PAWF2 | Other | ID | BLUE CROSS OF IDAHO |
| 134024 | Other | OR | OMAP |
| 000010139458 | Other | ID | REGENCE BLUE SHIELD |
| 8J703 | Other | ID | BLUE CROSS OF IDAHO GROUP |
| 8J190 | Other | ID | BLUE CROSS OF IDAHO GROUP |
| 0209674 | Other | WA | WA DEPARTMENT OF LABOR |
| PAOV4 | Other | ID | BLUE CROSS OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA397 (Idaho) | Secondary |
| 363A00000X | Physician Assistant | PA-397 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
| Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
| St. Alphonsus Medical Center - Baker City | Baker city, OR | Hospital |
| Saint Alphonsus Medical Center - Ontario, Inc | Ontario, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Alphonsus Regional Medical Center Inc | 3476462359 | 533 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan G Hart, PA 3340 E Goldstone Way, Meridian, ID 83642-1026 Ph: (208) 367-5170 | Bryan G Hart, PA 1072 N Liberty St, Suite 303, Boise, ID 83704-2800 Ph: (208) 367-4035 |
Brittany Guthrie, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1072 N Liberty Street, Ste 303, Boise, ID 83704 Phone: 208-302-4400 Fax: 208-302-4255 | |
Claire Magnolo, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 301 W Myrtle St, Boise, ID 83702 Phone: 208-342-8200 Fax: 208-342-8202 | |
Polina Kokoulina, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 N Liberty St, Ste 101, Boise, ID 83704 Phone: 208-367-5050 Fax: 208-367-5151 | |
Natalie Marie Hague, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 E Warm Springs Ave Ste B, Boise, ID 83712 Phone: 208-381-6930 Fax: 208-381-6931 | |
Micah Ray Tobin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10583 W Lake Hazel Rd, Boise, ID 83709 Phone: 208-302-5950 Fax: 208-302-5955 | |
Jason H. Mcbride, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-3131 | |
Patrick B Mccabe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1188 W University Dr, Boise, ID 83706 Phone: 208-336-8250 Fax: 208-345-9514 |