| Leslie Irene Burnside, PA-C | |
|
147 W Chubbuck Rd, Chubbuck, ID 83202-2314 | |
| (208) 238-7546 | |
| (208) 237-9643 |
| Full Name | Leslie Irene Burnside |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 147 W Chubbuck Rd, Chubbuck, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760451454 | NPI | - | NPPES |
| 807303300 | Medicaid | ID | |
| 000010152873 | Other | ID | REGENCE BLUE SHIELD |
| PAA34 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA518 (Idaho) | Primary |
| 363A00000X | Physician Assistant | PA-645 (Alabama) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Portneuf Medical Center | Pocatello, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Idaho Skin Institute Of Chubbuck | 0648658807 | 4 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Irene Burnside, PA-C 147 W Chubbuck Rd, Chubbuck, ID 83202-2314 Ph: (208) 238-7546 | Leslie Irene Burnside, PA-C 147 W Chubbuck Rd, Chubbuck, ID 83202-2314 Ph: (208) 238-7546 |
Renee Lynn Katter, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 4460 Kings Way Ste 3, Chubbuck, ID 83202 Phone: 208-237-3612 Fax: 208-237-5192 | |
Brookelle Smith Gunn, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 880 W Quinn Rd, Chubbuck, ID 83202 Phone: 208-238-2000 | |
Mrs. Rachel M Koster, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4650 Hawthorne Road,, Suite 3b, Chubbuck, ID 83202 Phone: 208-237-9833 | |
Michaela Sophia Butler, PA-S Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4650 Hawthorne Rd Ste 3b, Chubbuck, ID 83202 Phone: 208-252-5621 Fax: 208-648-4167 | |
Mr. Wiley D Petersen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 134 W Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-417-0102 Fax: 208-242-3219 | |
Ryan Daniel Wolfley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4650 Hawthorne Rd Ste 3b, Chubbuck, ID 83202 Phone: 208-252-5621 Fax: 208-648-4167 | |
Ryan T Mcculloch, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 147 W Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-238-7546 Fax: 208-237-9643 |