| Megan Jensen, | |
|
6929 W Trail Dr, Boise, ID 83704-4568 | |
| (208) 914-3760 | |
| Not Available |
| Full Name | Megan Jensen |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 6929 W Trail Dr, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245855113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 11802967-4901 (Utah) | Primary |
| Provider Name | Ihc Health Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Mailing Address | Practice Location Address |
|---|---|
| Megan Jensen, 6929 W Trail Dr, Boise, ID 83704-4568 Ph: () - | Megan Jensen, 6929 W Trail Dr, Boise, ID 83704-4568 Ph: (208) 914-3760 |
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Daria T Pori, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise, ID 83702 Phone: 208-422-1141 | |
Ms. Megan Marie Mcguffey, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1910 University Dr, Boise, ID 83725 Phone: 208-426-1459 | |
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