| Karen Dickerson, PA-C | |
|
1352 E Center St, Pocatello, ID 83201-4734 | |
| (208) 234-2001 | |
| (208) 232-2195 |
| Full Name | Karen Dickerson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 1352 E Center St, Pocatello, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760597462 | NPI | - | NPPES |
| 8073207000 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA566 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Karen Dickerson, PA-C Po Box O, Pocatello, ID 83205-0049 Ph: (208) 234-2001 | Karen Dickerson, PA-C 1352 E Center St, Pocatello, ID 83201-4734 Ph: (208) 234-2001 |
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 |