Dr Jay Warren Willey, DO | |
495 Yellowstone Ave, Pocatello, ID 83201-4531 | |
(208) 478-7422 | |
(208) 478-1515 |
Full Name | Dr Jay Warren Willey |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 28 Years |
Location | 495 Yellowstone Ave, Pocatello, 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 |
---|---|---|---|
1922029412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | O314 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mountain View Hospital | Idaho falls, ID | Hospital |
Portneuf Medical Center | Pocatello, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mvh Pic Llc | 6709156904 | 16 |
Entity Name | Mvh Pic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972035772 PECOS PAC ID: 6709156904 Enrollment ID: O20170720002408 |
Mailing Address | Practice Location Address |
---|---|
Dr Jay Warren Willey, DO 3049 E Center Street, Pocatello, ID 83201 Ph: (208) 221-4433 | Dr Jay Warren Willey, DO 495 Yellowstone Ave, Pocatello, ID 83201-4531 Ph: (208) 478-7422 |
Shayna Larae Harding, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1133 Call Creek Dr # A, Pocatello, ID 83201 Phone: 208-232-1000 Fax: 208-232-1006 | |
Cody E Patterson, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 151 N 4th Ave, Pocatello, ID 83201 Phone: 208-269-7147 Fax: 208-416-6522 | |
Dr. Bradley Yamashita Beaufort, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-282-4700 Fax: 208-282-4696 | |
Ryan Hudgens, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-232-7862 | |
Shaylor Bringhurst, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-232-7862 | |
Dr. Sharla Clark, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1951 Bench Road, Suite B, Pocatello, ID 83201 Phone: 208-238-1000 Fax: 208-238-0009 | |
Marie Elwood, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-232-7862 |