Dr Jonathan Craig Stevens, MD is a
Neuromusculoskeletal Medicine & Omm physician based in Ponderay, Idaho. Dr Jonathan Craig Stevens is licensed to practice in Idaho (license number M7507) and his current practice location is 105 Vermeer Dr Unit 1, Ponderay, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 266-1677.
NPI number for Dr Jonathan Craig Stevens is 1366495178 and his current mailing address is Po Box 353, Clark Fork, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366495178.
Physician's Profile
| Full Name | Dr Jonathan Craig Stevens |
|---|
| Gender | Male |
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| Speciality | Neuromusculoskeletal Medicine & Omm |
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| Location | 105 Vermeer Dr Unit 1, Ponderay, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366495178
- Provider Enumeration Date: 05/19/2006
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Dr Jonathan Craig Stevens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366495178 | NPI | - | NPPES |
| 805192200 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | M7507 (Idaho) | Secondary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | M7507 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jonathan Craig Stevens is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jonathan Craig Stevens, MD
Po Box 353,
Clark Fork, ID 83811
Ph: (208) 266-1677 | Dr Jonathan Craig Stevens, MD
105 Vermeer Dr Unit 1,
Ponderay, ID 83852-9802
Ph: (208) 266-1677 |
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