Derek Eddie, PA-C | |
560 Memorial Dr, Pocatello, ID 83201-4073 | |
(208) 234-1960 | |
(208) 233-5033 |
Full Name | Derek Eddie |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 18 Years |
Location | 560 Memorial Dr, Pocatello, 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 |
---|---|---|---|
1346375367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | PA-662 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mountain View Hospital | Idaho falls, ID | Hospital |
Portneuf Medical Center | Pocatello, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cc Pocatello Llc | 8527353176 | 4 |
Mailing Address | Practice Location Address |
---|---|
Derek Eddie, PA-C 560 Memorial Dr, Pocatello, ID 83201-4073 Ph: (208) 234-1960 | Derek Eddie, PA-C 560 Memorial Dr, Pocatello, ID 83201-4073 Ph: (208) 234-1960 |
Shannon Alison Webb, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 | |
Mrs. Helena M. B. Rizor, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1448 E Center St, Pocatello, ID 83201 Phone: 208-234-1300 Fax: 208-234-1333 | |
Ms. Kasandra Jo Kister, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 921 S 8th Ave Stop 8253, Pocatello, ID 83209 Phone: 208-282-4726 | |
Shad Carl Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1151 Hospital Way Bldg A, Pocatello, ID 83201 Phone: 208-232-6616 Fax: 208-232-6618 | |
Mr. Michael John Doyle, PA-C(PHYS ASST) Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 921 S 8th Ave Stop 8311, Pocatello, ID 83209 Phone: 208-282-2330 Fax: 208-282-4036 | |
James Matthew Campbell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1515 E Clark St, Pocatello, ID 83201 Phone: 208-233-2273 | |
Tanner D Mitton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 950 Hospital Way, Ste A, Pocatello, ID 83201 Phone: 208-478-4522 Fax: 208-712-6868 |