| Tamara Ann Coulter Dotson, PA-C | |
|
415 6th St, Lewiston, ID 83501-2434 | |
| (208) 743-7612 | |
| (208) 746-4802 |
| Full Name | Tamara Ann Coulter Dotson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 415 6th St, Lewiston, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699102871 | NPI | - | NPPES |
| 1699102871 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 7686 (Wisconsin) | Secondary |
| 363A00000X | Physician Assistant | PA.60417452 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tamara Ann Coulter Dotson, PA-C Po Box 8, Wauna, WA 98395-0008 Ph: (360) 731-2533 | Tamara Ann Coulter Dotson, PA-C 415 6th St, Lewiston, ID 83501-2434 Ph: (208) 743-7612 |
Christopher V Ricketts, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-799-5280 | |
Mr. Gregory Robert Obray, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 320 Warner Dr, Lewiston Orthopaedics, Lewiston, ID 83501 Phone: 208-743-3523 | |
Vincent Fibelstad, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-799-5554 | |
Breanne L Lybyer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Ms. Laura Marie Gifford, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 | |
Mr. Nicholas Tieu, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 | |
Ryan Morris, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 425-999-5739 |