| Jonathan B Miller, PA-C | |
|
900 N Liberty St Ste 400, Boise, ID 83704-8707 | |
| (208) 367-3320 | |
| Not Available |
| Full Name | Jonathan B Miller |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 900 N Liberty St Ste 400, Boise, 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 |
|---|---|---|---|
| 1376570440 | NPI | - | NPPES |
| 000010149921 | Other | ID | REGENCE BLUE SHIELD |
| PA549 | Other | ID | PA MEDICAL LICENSE |
| PAVQ9 | Other | ID | BLUE CROSS OF IDAHO |
| 807126000 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA549 (Idaho) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA01356 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
| St Luke's Nampa Medical Center | Nampa, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Idaho Ear Nose And Throat | 0042402034 | 10 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan B Miller, PA-C 900 N Liberty St Ste 400, Boise, ID 83704-8707 Ph: (208) 367-3320 | Jonathan B Miller, PA-C 900 N Liberty St Ste 400, Boise, ID 83704-8707 Ph: (208) 367-3320 |
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 |