| Mr Michael J Lane, PA-C | |
|
388 E. Parkcenter Blvd., Boise, ID 83706 | |
| (208) 424-9101 | |
| (208) 424-5072 |
| Full Name | Mr Michael J Lane |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 388 E. Parkcenter Blvd., Boise, 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 |
|---|---|---|---|
| 1669415188 | NPI | - | NPPES |
| 806272300 | Medicaid | ID | |
| 806272301 | Medicaid | ID | |
| 000010140814 | Other | ID | BLUE SHIELD OF ID; BOISE |
| DI593 | Other | ID | BLUE CROSS OF ID |
| 000010145063 | Other | ID | BLUE SHIELD OF ID; EMMETT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA377 (Idaho) | Primary |
| 207N00000X | Dermatology | M7247 (Idaho) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gem State Dermatology Pa | 6901700269 | 5 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael J Lane, PA-C Po Box 1603, Boise, ID 83701-1603 Ph: (208) 424-9101 | Mr Michael J Lane, PA-C 388 E. Parkcenter Blvd., Boise, ID 83706 Ph: (208) 424-9101 |
Brittany Guthrie, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1072 N Liberty Street, Ste 303, Boise, ID 83704 Phone: 208-302-4400 Fax: 208-302-4255 | |
Claire Magnolo, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 301 W Myrtle St, Boise, ID 83702 Phone: 208-342-8200 Fax: 208-342-8202 | |
Polina Kokoulina, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 N Liberty St, Ste 101, Boise, ID 83704 Phone: 208-367-5050 Fax: 208-367-5151 | |
Natalie Marie Hague, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 E Warm Springs Ave Ste B, Boise, ID 83712 Phone: 208-381-6930 Fax: 208-381-6931 | |
Micah Ray Tobin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10583 W Lake Hazel Rd, Boise, ID 83709 Phone: 208-302-5950 Fax: 208-302-5955 | |
Jason H. Mcbride, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-3131 | |
Patrick B Mccabe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1188 W University Dr, Boise, ID 83706 Phone: 208-336-8250 Fax: 208-345-9514 |