Melisa Randall, PA
Melisa Randall, PA is a Physician Assistant in Boise, Idaho. Qualified in 2022, 4 years ago. Practices with Ashley a Davis M.d.p.c., a 4-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 4
- Licensed in
- ID
- In the registry since
- 2022
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
222 N 2nd St Ste 204Boise, ID 83702-6130
Phone: (208) 429-9100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA-2359 (ID) |
|---|---|
| Radiography Radiologic Technologist | Taxonomy 2471C3402X · Licence 583626 (ID) |
Record details
| NPI number | 1427782549 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | July 13, 2022 |
| Last updated in NPPES | October 11, 2022 |
| Certification date | October 11, 2022 |
| Mailing address | 222 N 2nd St Ste 204, Boise, ID 83702-6130 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Ashley A Davis M.D.P.C. — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |