| Carl Ryan Andrus, PA | |
|
4902 W State St, Boise, ID 83703-3326 | |
| (208) 853-3100 | |
| (208) 853-3120 |
| Full Name | Carl Ryan Andrus |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 4902 W State St, Boise, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215949532 | NPI | - | NPPES |
| 000010157032 | Other | ID | BLUE CROSS |
| 807520000 | Medicaid | ID | |
| PAD25 | Other | ID | BLUE CROSS |
| 000010157033 | Other | ID | BLUE SHIELD |
| PAD26 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-508 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Carl Ryan Andrus, PA 4902 W State St, Boise, ID 83703-3326 Ph: (208) 853-3100 | Carl Ryan Andrus, PA 4902 W State St, Boise, ID 83703-3326 Ph: (208) 853-3100 |
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 |