Mr Ryan Todd Porter, PA-C | |
98 Poplar St, Blackfoot, ID 83221-1758 | |
(208) 785-4100 | |
Not Available |
Full Name | Mr Ryan Todd Porter |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 20 Years |
Location | 98 Poplar St, Blackfoot, 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 |
---|---|---|---|
1669556213 | NPI | - | NPPES |
4307719 | Medicaid | MT | |
808517600 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AS0400X | Physician Assistant - Surgical | 447 (Montana) | Secondary |
363AS0400X | Physician Assistant - Surgical | PA-827 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bingham Memorial Hospital | Blackfoot, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bmh Inc | 8426149758 | 124 |
Entity Name | Bmh Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1982805271 PECOS PAC ID: 8426149758 Enrollment ID: O20070801000213 |
Mailing Address | Practice Location Address |
---|---|
Mr Ryan Todd Porter, PA-C 98 Poplar St, Blackfoot, ID 83221-1758 Ph: (208) 785-4100 | Mr Ryan Todd Porter, PA-C 98 Poplar St, Blackfoot, ID 83221-1758 Ph: (208) 785-4100 |
John Todd Allen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 E Alice St, Blackfoot, ID 83221 Phone: 208-785-1200 | |
Beverly Hanson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-782-3993 Fax: 208-782-3994 | |
Alyssa M Woodbury, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-2220 | |
Shawna Marie Reynolds, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 Fax: 208-785-1762 | |
Heather Faye Grimmett, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 | |
Lucas P Belford, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 E Alice St, Blackfoot, ID 83221 Phone: 208-785-1200 | |
Ryan Blair Killpack, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-4100 |