| Mr Brian T Martin, PA | |
|
520 S Eagle Rd Ste 1234, Meridian, ID 83642-6355 | |
| (208) 429-0300 | |
| (208) 429-0305 |
| Full Name | Mr Brian T Martin |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 520 S Eagle Rd Ste 1234, Meridian, 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 |
|---|---|---|---|
| 1144542457 | NPI | - | NPPES |
| PA-1767 | Medicaid | ID | |
| P00886826 | Other | SC | RAILROAD MC ID-RSFPN |
| 0969PA | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-1767 (Idaho) | Primary |
| 363A00000X | Physician Assistant | PA21543 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| St Luke's Nampa Medical Center | Nampa, ID | Hospital |
| St Luke's Elmore Medical Center | Mountain home, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic-treasure Valley Llc | 4981878402 | 991 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brian T Martin, PA 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Mr Brian T Martin, PA 520 S Eagle Rd Ste 1234, Meridian, ID 83642-6355 Ph: (208) 429-0300 |
Eric Christopher Moss, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 875 S Vanguard Way Ste 200, Meridian, ID 83642 Phone: 208-463-3219 Fax: 208-463-3055 | |
Mr. Benjamin Watson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd, Suite 1234, Meridian, ID 83642 Phone: 661-332-9138 | |
Sis E Ostolasa, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3025 W Cherry Lane, Ste B, Meridian, ID 83642 Phone: 208-302-6450 Fax: 208-302-6455 | |
Mr. Alexander J Arhets, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1618 S Millenium Way Ste 100, Meridian, ID 83642 Phone: 208-884-3376 Fax: 208-884-0858 | |
Kayla Faye Cornell, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3655 E Tahiti Dr, Meridian, ID 83646 Phone: 208-631-4385 | |
Sari Bianca Lavarias, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 360 E Montvue Dr, Meridian, ID 83642 Phone: 208-855-2900 Fax: 208-898-9877 | |
Chelsea Miller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4664 N Penngrove Way Ste 100, Meridian, ID 83646 Phone: 208-452-5999 |