Mr Kenneth Henry Hyatt, PA-C - Physician Assistant in Challis, ID

Mr Kenneth Henry Hyatt, PA-C is a Physician Assistant - Medical based in Challis, Idaho. Mr Kenneth Henry Hyatt is licensed to practice in Idaho (license number PA-535) and his current practice location is 1 Clinic Road, Challis, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 879-4351.

NPI number for Mr Kenneth Henry Hyatt is 1144312513 and his current mailing address is 4737 Garden Creek Road, Challis, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144312513.

Contact Information

Mr Kenneth Henry Hyatt, PA-C
1 Clinic Road,
Challis, ID 83226
(208) 879-4351
(208) 879-5216



Provider's Profile

Full NameMr Kenneth Henry Hyatt
GenderMale
SpecialityPhysician Assistant - Medical
Location1 Clinic Road, Challis, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1144312513
  • Provider Enumeration Date: 09/29/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Kenneth Henry Hyatt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144312513NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA-535 (Idaho)Primary

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. Mr Kenneth Henry Hyatt is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Kenneth Henry Hyatt, PA-C
4737 Garden Creek Road,
Challis, ID 83226

Ph: (208) 879-4351
Mr Kenneth Henry Hyatt, PA-C
1 Clinic Road,
Challis, ID 83226

Ph: (208) 879-4351

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Physician Assistant Nurses in Challis, ID

Breeann Marie Petrie, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 431 E. Main St. #994, Challis, ID 83226
Phone: 208-833-1313    Fax: 833-839-1195
Mr. Matthew Chad Banks, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 611 Clinic Rd, Challis, ID 83226
Phone: 208-879-4351    Fax: 208-879-5216
Stephen Max Smith, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 611 Clinic Road, Challis, ID 83226
Phone: 208-879-4351    Fax: 208-879-5216
Thomas Daniel Fife, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 611 Clinic Rd, Challis, ID 83226
Phone: 208-879-4351    Fax: 208-879-5216
Miles Alan Haeberle, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 611 Clinic Rd, Challis, ID 83226
Phone: 208-879-4351    Fax: 208-879-5216
Joseph W Petrie, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 431 E. Main St., #994, Challis, ID 83226
Phone: 208-833-3773    Fax: 833-839-1175

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