Leslie Irene Burnside, PA-C - Medicare Physician Assistant in Chubbuck, ID

Leslie Irene Burnside, PA-C is a medicare enrolled "Physician Assistant" in Chubbuck, Idaho. She graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Idaho Skin Institute Of Chubbuck and her current practice location is 147 W Chubbuck Rd, Chubbuck, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 238-7546.

Leslie Irene Burnside is licensed to practice in Idaho (license number PA518) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760451454.

Contact Information

Leslie Irene Burnside, PA-C
147 W Chubbuck Rd,
Chubbuck, ID 83202-2314
(208) 238-7546
(208) 237-9643



Provider's Profile

Full NameLeslie Irene Burnside
GenderFemale
SpecialityPhysician Assistant
Experience20 Years
Location147 W Chubbuck Rd, Chubbuck, Idaho
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Leslie Irene Burnside graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1760451454
  • Provider Enumeration Date: 03/15/2006
  • Last Update Date: 07/22/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 5092764373
  • Enrollment ID: I20050113000315

Medical Identifiers

Medical identifiers for Leslie Irene Burnside such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760451454NPI-NPPES
807303300MedicaidID
000010152873OtherIDREGENCE BLUE SHIELD
PAA34OtherIDBLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA518 (Idaho)Primary
363A00000XPhysician Assistant PA-645 (Alabama)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Portneuf Medical CenterPocatello, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Idaho Skin Institute Of Chubbuck06486588074

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Leslie Irene Burnside is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Leslie Irene Burnside, PA-C
147 W Chubbuck Rd,
Chubbuck, ID 83202-2314

Ph: (208) 238-7546
Leslie Irene Burnside, PA-C
147 W Chubbuck Rd,
Chubbuck, ID 83202-2314

Ph: (208) 238-7546

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Physician Assistant Nurses in Chubbuck, ID

Renee Lynn Katter, PA-C
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 4460 Kings Way Ste 3, Chubbuck, ID 83202
Phone: 208-237-3612    Fax: 208-237-5192
Brookelle Smith Gunn, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 880 W Quinn Rd, Chubbuck, ID 83202
Phone: 208-238-2000    
Mrs. Rachel M Koster, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4650 Hawthorne Road,, Suite 3b, Chubbuck, ID 83202
Phone: 208-237-9833    
Michaela Sophia Butler, PA-S
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4650 Hawthorne Rd Ste 3b, Chubbuck, ID 83202
Phone: 208-252-5621    Fax: 208-648-4167
Ryan Daniel Wolfley, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4650 Hawthorne Rd Ste 3b, Chubbuck, ID 83202
Phone: 208-252-5621    Fax: 208-648-4167
Ryan T Mcculloch, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 147 W Chubbuck Rd, Chubbuck, ID 83202
Phone: 208-238-7546    Fax: 208-237-9643
Brent Leavitt,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 4928 Pleasant View Dr, Chubbuck, ID 83202
Phone: 208-760-9416    

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