Dr Jessica Ann Harnisch-boyd, DO, MPH | |
25 Jacobs Gulch Rd, Kellogg, ID 83837-2023 | |
(208) 784-1221 | |
Not Available |
Full Name | Dr Jessica Ann Harnisch-boyd |
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Gender | Female |
Speciality | Family Medicine |
Location | 25 Jacobs Gulch Rd, Kellogg, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407319841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | O-1429 (Idaho) | Primary |
Entity Name | Kootenai Health, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235288655 PECOS PAC ID: 4789641598 Enrollment ID: O20041214000230 |
Entity Name | Shoshone Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043215437 PECOS PAC ID: 6103739107 Enrollment ID: O20050113001084 |
Entity Name | Shoshone Medical Center |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1043215437 PECOS PAC ID: 6103739107 Enrollment ID: O20061104000442 |
Entity Name | Coeur Vitality Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316574700 PECOS PAC ID: 2365860343 Enrollment ID: O20200909000527 |
Entity Name | Kootenai Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252 |
Mailing Address | Practice Location Address |
---|---|
Dr Jessica Ann Harnisch-boyd, DO, MPH 201 N Bruce Dr, Coeur D Alene, ID 83814-5801 Ph: (208) 784-8765 | Dr Jessica Ann Harnisch-boyd, DO, MPH 25 Jacobs Gulch Rd, Kellogg, ID 83837-2023 Ph: (208) 784-1221 |
Ms. Jocelyn J Korasick, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 Mckinley Ave, Kellogg, ID 83837 Phone: 208-783-1267 Fax: 844-807-3782 | |
Dr. Tim John Ochoa, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 25 Jacobs Gulch Rd, Kellogg, ID 83837 Phone: 208-784-1221 | |
Steven J Malek, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 740 Mckinley Ave, Kellogg, ID 83837 Phone: 208-625-4000 | |
Melissa Rix, Family Medicine Medicare: Medicare Enrolled Practice Location: 740 Mckinley Ave, Kellogg, ID 83837 Phone: 208-783-1267 |