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Thomas Ryan Giles

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

(208) 381-2094

PECOS Enrollment

This provider is enrolled in PECOS as THOMAS GILES.

Based on the most recent information from CMS, provider Thomas Ryan Giles is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1114436672
Provider Type
Individual
Full Name
Giles, Thomas Ryan
Credential
PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
9/27/2017
Last Updated
9/13/2022

Contact Information

Practice Location

190 E Bannock St, Boise, ID 83712-6241

(208) 381-2094

Unlisted Fax

Mailing Location

PO Box 3300, La Pine, OR 97739-3300

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA-2317 Idaho
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA184708 Oregon

Thomas Ryan Giles

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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Collins, Brittany

Johnson, Cody

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Mcreynolds, Mariah Emily

Smith, Samantha Jo

Kimble, Krystan

Wilson, Eleanor Rose

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Penner, Rebecca Michelle