| Takahisa Koide, PA | |
|
700 Caldwell Blvd, Nampa, ID 83651-1707 | |
| (208) 466-6567 | |
| Not Available |
| Full Name | Takahisa Koide |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 700 Caldwell Blvd, Nampa, 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 |
|---|---|---|---|
| 1508514456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-2208 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alliance Medical Group Llc | 3971544685 | 118 |
| Mailing Address | Practice Location Address |
|---|---|
| Takahisa Koide, PA Po Box 191050, Boise, ID 83719-1050 Ph: (208) 955-6500 | Takahisa Koide, PA 700 Caldwell Blvd, Nampa, ID 83651-1707 Ph: (208) 466-6567 |
Michael Vincen-brown, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1115 12th Ave, Nampa, ID 83686 Phone: 208-498-1080 Fax: 208-498-1081 | |
Kedron F.j. Burnett, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 211 16th Ave N, Nampa, ID 83687 Phone: 208-467-4431 Fax: 208-467-7684 | |
Mary Elisabeth Titmus, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3165 E Greenhurst Rd, Nampa, ID 83686 Phone: 208-463-7330 | |
Mark A Granrud, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 215 E Hawaii Avenue, Nampa, ID 83686 Phone: 208-463-3000 Fax: 208-463-3034 | |
Megan F George, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 223 16th Ave N, Nampa, ID 83687 Phone: 208-466-7869 Fax: 208-466-5359 | |
Daniel Reed Marshall, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1019 W Sanetta St, Nampa, ID 83651 Phone: 208-912-4416 | |
Jocelyn Ashley Benton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3908 E Flamingo Ave, Nampa, ID 83687 Phone: 208-442-8035 Fax: 208-442-8038 |