Individual ProviderLyndsey FritzPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address190 E Bannock St Fl 9, Boise, ID 83712-6241(208) 381-3971PECOS EnrollmentBased on the most recent information from CMS, provider Lyndsey Fritz is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1629481262Provider TypeIndividualFull NameFritz, LyndseyCredentialPA-CGenderFemaleSole ProprietorYesEnumeration Date6/10/2014Last Updated4/8/2024Contact InformationPractice LocationPractice Address190 E Bannock St Fl 9, Boise, ID 83712-6241Phone(208) 381-3971Fax(208) 381-2566Mailing LocationMailing Address190 E Bannock St, Boise, ID 83712-6241PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA-1687IdahoCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA51626California