| Jacob Daniel Shirley, PA | |
|
110 Vista Dr, Pocatello, ID 83201-5824 | |
| (208) 234-2300 | |
| (208) 234-0026 |
| Full Name | Jacob Daniel Shirley |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 110 Vista 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 |
|---|---|---|---|
| 1992463970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-2185 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Johns Medical Center | Jackson, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gastroenterology Associates Pc | 8820902695 | 14 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Daniel Shirley, PA 110 Vista Dr, Pocatello, ID 83201-5824 Ph: (208) 234-2300 | Jacob Daniel Shirley, PA 110 Vista Dr, Pocatello, ID 83201-5824 Ph: (208) 234-2300 |
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 | |
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 | |
Ms. Lindsey Scott, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1901 Alvin Ricken Dr, Pocatello, ID 83201 Phone: 208-233-9080 Fax: 208-478-9297 |