Dr Jacob Adam Mong, DO | |
5680 W Gage St, Boise, ID 83706-1326 | |
(208) 377-3937 | |
(208) 377-9455 |
Full Name | Dr Jacob Adam Mong |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 13 Years |
Location | 5680 W Gage St, Boise, 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 |
---|---|---|---|
1346535481 | NPI | - | NPPES |
1346535481 | Medicaid | ID | |
20006959 | Other | ID | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 1346535481 (Michigan) | Secondary |
207W00000X | Ophthalmology | O-0860 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Regional Medical Center | Boise, ID | Hospital |
Saint Alphonsus Medical Center - Ontario, Inc | Ontario, OR | Hospital |
Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
Weiser Memorial Hospital | Weiser, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vision Quest Medical Center Pa | 0547528598 | 5 |
Vision Quest Medical Center Pa | 0547528598 | 5 |
Entity Name | Vision Quest Medical Center, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356542542 PECOS PAC ID: 5294622965 Enrollment ID: O20040228000233 |
Entity Name | Vision Quest Medical Center Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356542542 PECOS PAC ID: 0547528598 Enrollment ID: O20171220000841 |
Entity Name | Maple Grove Eyecare Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124684485 PECOS PAC ID: 6608101282 Enrollment ID: O20190718002555 |
Mailing Address | Practice Location Address |
---|---|
Dr Jacob Adam Mong, DO 5680 W Gage St, Boise, ID 83706-1326 Ph: (208) 377-3937 | Dr Jacob Adam Mong, DO 5680 W Gage St, Boise, ID 83706-1326 Ph: (208) 377-3937 |
Dr. Mark J Boerner, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 111 W Main St Ste 200, Boise, ID 83702 Phone: 208-344-3220 Fax: 208-344-0461 | |
James R Swartley, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 222 N 2nd St, Suite 215, Boise, ID 83702 Phone: 208-342-2706 | |
Landon Kelly Grange, M.D. Ophthalmology Medicare: May Accept Medicare Assignments Practice Location: 5680 W Gage St, Boise, ID 83706 Phone: 208-773-3937 Fax: 208-377-3937 | |
Dr. Chad Harman Jackson, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 111 W Main St Ste 200, Boise, ID 83702 Phone: 208-344-3220 Fax: 208-344-0461 | |
Daniel R Brooks, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 222 N 2nd St, Ste 215, Boise, ID 83702 Phone: 208-381-6910 | |
John R Sonntag, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 5680 W Gage St, Boise, ID 83706 Phone: 208-377-3937 Fax: 208-377-9455 | |
Ali Torab Parhiz, M.D Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 901 N Curtis Rd Ste 302, Boise, ID 83706 Phone: 812-424-2020 |