Dr Gregory R Jensen, DO | |
300 S 3rd W, Soda Springs, ID 83276-1559 | |
(208) 547-3341 | |
(208) 547-2790 |
Full Name | Dr Gregory R Jensen |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 7 Years |
Location | 300 S 3rd W, Soda Springs, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558894220 | NPI | - | NPPES |
1942970272 | Medicaid | ID | |
1669533154 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | O-1191 (Idaho) | Secondary |
207R00000X | Internal Medicine | O-1191 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Caribou Memorial Hospital | Soda springs, ID | Hospital |
Franklin County Medical Center | Preston, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Caribou Medical Center, Inc | 7618365701 | 21 |
Franklin County Medical Center | 8820909104 | 19 |
Entity Name | Mountain View Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
Entity Name | Franklin County Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548355811 PECOS PAC ID: 8820909104 Enrollment ID: O20070917000547 |
Entity Name | Caribou Medical Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942970272 PECOS PAC ID: 7618365701 Enrollment ID: O20220314000619 |
Mailing Address | Practice Location Address |
---|---|
Dr Gregory R Jensen, DO 300 S 3rd W, Soda Springs, ID 83276-1559 Ph: (208) 547-3341 | Dr Gregory R Jensen, DO 300 S 3rd W, Soda Springs, ID 83276-1559 Ph: (208) 547-3341 |
Dr. Nita B Weber, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 S 3rd W, Soda Springs, ID 83276 Phone: 208-547-3118 Fax: 208-547-2798 |