| Evan Johnson, PA-C | |
|
1252 Bennett Ave Ste B, Burley, ID 83318-2664 | |
| (208) 647-0656 | |
| Not Available |
| Full Name | Evan Johnson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 1252 Bennett Ave Ste B, Burley, 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 |
|---|---|---|---|
| 1912637042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-2622 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intermountain Health Cassia Regional Hospital | Burley, ID | Hospital |
| St Luke's Magic Valley Rmc | Twin falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physicians Immediate Care Of Twin Falls Pa | 0143460717 | 9 |
| North Canyon Medical Center Inc | 0941371439 | 73 |
| Entity Name | North Canyon Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609046671 PECOS PAC ID: 0941371439 Enrollment ID: O20090409000304 |
| Entity Name | Physicians Immediate Care of Twin Falls PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114141090 PECOS PAC ID: 0143460717 Enrollment ID: O20130702000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Evan Johnson, PA-C 1252 Bennett Ave Ste B, Burley, ID 83318-2664 Ph: (208) 647-0656 | Evan Johnson, PA-C 1252 Bennett Ave Ste B, Burley, ID 83318-2664 Ph: (208) 647-0656 |
Jacob Walker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 382 N Overland Ave, Burley, ID 83318 Phone: 208-678-6996 Fax: 208-678-6866 |
Henry Rainbolt Iii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 382 N Overland Ave, Burley, ID 83318 Phone: 208-933-4442 |
Mr. Logan Nielson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 382 N Overland Ave, Burley, ID 83318 Phone: 208-678-6996 |
Dallon Higgs, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 382 N Overland Ave, Burley, ID 83318 Phone: 208-678-6996 |
Mitch T Robinson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1501 Hiland Ave Ste C, Burley, ID 83318 Phone: 208-677-6080 Fax: 208-677-6090 |
Mr. Curtis Samuel Nielson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1404 Pomerelle Ave, Burley, ID 83318 Phone: 208-878-8783 Fax: 208-878-8786 |
Brandon Pope, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1501 Hiland Ave, Burley, ID 83318 Phone: 208-678-4444 |