| Mrs Shannon L Gardiner, PA | |
|
875 S Vanguard Way Ste 200, Meridian, ID 83642-8542 | |
| (208) 809-2895 | |
| (208) 809-2896 |
| Full Name | Mrs Shannon L Gardiner |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 875 S Vanguard Way Ste 200, Meridian, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689701260 | NPI | - | NPPES |
| 806483300 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA403 (Idaho) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA-403 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| St Luke's Nampa Medical Center | Nampa, ID | Hospital |
| Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alliance Medical Group Llc | 3971544685 | 118 |
| Southern Idaho Health Partners Llc | 5395063564 | 70 |
| Chatterton Speech Therapy Llc | 9234350182 | 10 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shannon L Gardiner, PA Po Box 191050, Boise, ID 83719-1050 Ph: (208) 985-1423 | Mrs Shannon L Gardiner, PA 875 S Vanguard Way Ste 200, Meridian, ID 83642-8542 Ph: (208) 809-2895 |
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 |