Mr Kodie Thomas, | |
2086 Picket Ln, Emmett, ID 83617-9104 | |
(208) 369-1276 | |
Not Available |
Full Name | Mr Kodie Thomas |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 2086 Picket Ln, Emmett, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003376559 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | 9134 (Arizona) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Kodie Thomas, 2086 Picket Ln, Emmett, ID 83617-9104 Ph: () - | Mr Kodie Thomas, 2086 Picket Ln, Emmett, ID 83617-9104 Ph: (208) 369-1276 |
Megan Martinson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 207 E 12th St, Emmett, ID 83617 Phone: 208-365-1065 Fax: 208-365-1068 | |
Ms. Desiree Darlene Reid, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1102 E Locust St, Emmett, ID 83617 Phone: 208-365-6004 | |
Paden Gonzales, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 207 E 12th St, Emmett, ID 83617 Phone: 208-365-1065 | |
Mr. David M. Shuey Ii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1102 E Locust St, Emmett, ID 83617 Phone: 208-365-6004 Fax: 208-365-3589 |