| Mark Eric Merrell, PA-C | |
|
486 W 1st Ave, Glenns Ferry, ID 83623-2701 | |
| (208) 366-7416 | |
| (208) 366-2595 |
| Full Name | Mark Eric Merrell |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 486 W 1st Ave, Glenns Ferry, 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 |
|---|---|---|---|
| 1922342377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | GPA-054 (Idaho) | Secondary |
| 363A00000X | Physician Assistant | PA-1054 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
| St Luke's Elmore Medical Center | Mountain home, ID | Hospital |
| St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Glenns Ferry Health Center Inc | 5496656894 | 13 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Eric Merrell, PA-C 120 Desert Sage Way, Mountain Home, ID 83647-1038 Ph: (208) 696-7203 | Mark Eric Merrell, PA-C 486 W 1st Ave, Glenns Ferry, ID 83623-2701 Ph: (208) 366-7416 |
Rachelle Alice Jaramillo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 486 W First St, Glenns Ferry, ID 83623 Phone: 208-366-7416 Fax: 208-366-2595 |