| Laura A Tabor, PA | |
|
1880 John Adams Pkwy, Idaho Falls, ID 83401-4315 | |
| (208) 524-6633 | |
| (208) 524-9952 |
| Full Name | Laura A Tabor |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 1880 John Adams Pkwy, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538121322 | NPI | - | NPPES |
| PAC63 | Other | ID | BLUE CROSS PROVIDER NUMBE |
| 807659300 | Medicaid | ID | |
| 8K123 | Other | ID | BLUE CROSS GROUP |
| P00205234 | Other | ID | RAILROAD MEDICARE NUMBER |
| 1134140148 | Other | ID | BAKER FAMILY GROUP NPI |
| 000010027582 | Other | ID | REGENCE BLUESHIELD GROUP |
| DE1614 | Other | ID | RAILROAD MCR GROUP |
| 000010156316 | Other | ID | REGENCE BLUE SHIELD |
| 806887600 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA415 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Laura A Tabor, PA 1880 John Adams Pkwy, Idaho Falls, ID 83401-4315 Ph: (208) 524-6633 | Laura A Tabor, PA 1880 John Adams Pkwy, Idaho Falls, ID 83401-4315 Ph: (208) 524-6633 |
Mr. Kelly Meacham, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3389 Merlin Dr, Idaho Falls, ID 83404 Phone: 208-552-9831 | |
Chloe Olivia Seegmiller, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3500 Potomac Way Ste 100, Idaho Falls, ID 83404 Phone: 208-522-7666 Fax: 208-524-2821 | |
Lee S Gardner, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2725 Channing Way, Idaho Falls, ID 83404 Phone: 208-525-8448 Fax: 208-525-8118 | |
Jeremy Chad Rindlisbacher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 740 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-542-9111 Fax: 208-542-9114 | |
Johnathon Chase Wilde, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3820 Crestwood Ln, Idaho Falls, ID 83404 Phone: 208-552-7700 | |
David Landen Day, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2985 Cortez Ave, Idaho Falls, ID 83404 Phone: 208-523-3373 Fax: 208-523-8746 | |
Mrs. Monica J Nealis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1550 Elk Creek Dr, Idaho Falls, ID 83404 Phone: 208-529-5942 Fax: 208-529-5951 |