| Gretchen G Basen, PA-C | |
|
775 Pole Line Rd W, Suite 115, Twin Falls, ID 83301-5814 | |
| (208) 814-8150 | |
| (208) 732-3112 |
| Full Name | Gretchen G Basen |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 775 Pole Line Rd W, Twin Falls, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861549396 | NPI | - | NPPES |
| 1861549396 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | C0001509 (Maryland) | Secondary |
| 363A00000X | Physician Assistant | PA-914 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gretchen G Basen, PA-C 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 928-7773 | Gretchen G Basen, PA-C 775 Pole Line Rd W, Suite 115, Twin Falls, ID 83301-5814 Ph: (208) 814-8150 |
Ryan Dennis Hodges, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 388 Martin St, Twin Falls, ID 83301 Phone: 208-734-0451 Fax: 208-734-0452 | |
Heather Mcdonald Nope, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 141 Morrison St, Twin Falls, ID 83301 Phone: 208-737-0572 Fax: 208-734-9441 | |
Mrs. Kimberly Dolecheck Tverdy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 203, Twin Falls, ID 83301 Phone: 208-814-8300 | |
John Laurent Etcheto, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 176 Falls Avenue, Twin Falls, ID 83301 Phone: 208-733-3181 Fax: 208-733-3168 | |
Mindy L Brown, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Suite 3810, Twin Falls, ID 83301 Phone: 208-814-8500 Fax: 208-734-4143 | |
Chuck B Fuller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 660 Shoshone St E, Suite 130, Twin Falls, ID 83301 Phone: 208-732-3400 Fax: 208-732-3300 | |
Nicholas J Perius, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 650 Addison Ave W, Twin Falls, ID 83301 Phone: 208-732-3429 Fax: 208-732-3220 |