Mr Craig Stephen Kantack, PA-C in Idaho Falls, ID

Mr Craig Stephen Kantack, PA-C is a medicare enrolled "Physician Assistant - Medical" in Idaho Falls, Idaho. His current practice location is 740 S Woodruff Ave, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 542-9111.

Mr Craig Stephen Kantack is licensed to practice in Idaho (license number PA-984) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699052357.

Contact Information

	Mr Craig Stephen Kantack, PA-C
	740 S Woodruff Ave, Idaho Falls, ID 83401-5285
	(208) 542-9111
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Craig Stephen Kantack
Gender	Male
Speciality	Physician Assistant - Medical
Location	740 S Woodruff Ave, Idaho Falls, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699052357
Provider Enumeration Date: 11/09/2011
Last Update Date: 04/12/2023

Medicare PECOS Information:

PECOS PAC ID: 3577721232
Enrollment ID: I20121004000719

Medical Identifiers

Medical identifiers for Mr Craig Stephen Kantack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699052357	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA-984 (Idaho)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Craig Stephen Kantack is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Craig Stephen Kantack, PA-C 944 W 97th S, Idaho Falls, ID 83402-5842 Ph: (208) 313-5150	Mr Craig Stephen Kantack, PA-C 740 S Woodruff Ave, Idaho Falls, ID 83401-5285 Ph: (208) 542-9111

Reviews and Comments

Physician Assistant Nurses in Idaho Falls, ID

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

Mr Craig Stephen Kantack, PA-C - Medicare Physician Assistant in Idaho Falls, ID