Dr John E Liljenquist, MD | |
2220 E 25th St, Idaho Falls, ID 83404-7542 | |
(208) 522-2996 | |
(208) 523-6025 |
Full Name | Dr John E Liljenquist |
---|---|
Gender | Male |
Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 2220 E 25th St, Idaho Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619977600 | NPI | - | NPPES |
804012300 | Other | ID | HEALTHY CONNECTIONS |
25852 | Other | ID | BLUESHIELD OF IDAHO |
113798100 | Other | ID | WYOMING CONSULTEC EDS |
002530600 | Medicaid | ID | |
110008760 | Other | ID | RAILROAD MEDICARE |
34512 | Other | DE | BLUECROSS OF IDAHO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | M4220 (Idaho) | Primary |
Entity Name | Rocky Mountain Diabetes And Osteoporosis Center Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336220243 PECOS PAC ID: 5890750483 Enrollment ID: O20041123000397 |
Mailing Address | Practice Location Address |
---|---|
Dr John E Liljenquist, MD 3910 Washington Pkwy, Idaho Falls, ID 83404-7596 Ph: (208) 522-2996 | Dr John E Liljenquist, MD 2220 E 25th St, Idaho Falls, ID 83404-7542 Ph: (208) 522-2996 |
Dr. Douglas N Whatmore, M.D. Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 3200 Channing Way, Ste 205, Idaho Falls, ID 83404 Phone: 208-535-4300 Fax: 208-535-4315 | |
Blake Anderson, Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-227-2850 | |
Jordan Joseph Cormier, PA-C Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 2330 Desoto St, Idaho Falls, ID 83404 Phone: 208-552-4909 Fax: 208-522-6101 | |
Dr. Shawn D Speirs, D.O. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-227-2575 | |
Mr. Craig D Scoville, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 2220 E 25th St, Idaho Falls, ID 83404 Phone: 208-542-9080 Fax: 208-542-9081 | |
Paul A Gerlach, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 2985 Cortez Ave, Idaho Falls, ID 83404 Phone: 208-523-3373 Fax: 208-523-8746 | |
Dr. Ned R Warner, D.O. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 2770 Cortez Ave, Idaho Falls, ID 83404 Phone: 208-522-4000 Fax: 208-528-4254 |