Dr Randall D Jenkins, MD | |
100 E Idaho St, Suite 304, Boise, ID 83712 | |
(208) 381-7336 | |
(208) 381-7029 |
Full Name | Dr Randall D Jenkins |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 44 Years |
Location | 100 E Idaho 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 |
---|---|---|---|
1619934213 | NPI | - | NPPES |
00340150 | Medicaid | ID | |
270819 | Medicaid | OR | |
8518003 | Medicaid | WA | |
XPY 190107 | Medicaid | CA | |
MD7720R | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0210X | Pediatrics - Pediatric Nephrology | 12771 (Oregon) | Secondary |
2080P0210X | Pediatrics - Pediatric Nephrology | M-6953 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic-treasure Valley Llc | 4981878402 | 991 |
Oregon Health And Sciences University/university Medical Group | 4880760107 | 1479 |
Entity Name | St Lukes Clinic-treasure Valley Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
---|---|
Dr Randall D Jenkins, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 706-8449 | Dr Randall D Jenkins, MD 100 E Idaho St, Suite 304, Boise, ID 83712 Ph: (208) 381-7336 |
Dr. Nathan D Meeker, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St, Boise, ID 83712 Phone: 208-381-2782 Fax: 208-381-3172 | |
Nicolas A Camilo, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St., Boise, ID 83712 Phone: 208-381-2782 Fax: 208-381-3172 | |
Heather Carew, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2645 | |
Dr. Frederick K Emge, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St, Suite 200, Boise, ID 83712 Phone: 208-381-7384 Fax: 208-381-7387 | |
Annis Wakelee Vargas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1072 N Liberty Street, Ste 203, Boise, ID 83701 Phone: 208-302-5800 Fax: 208-302-5855 | |
Mrs. Lisa S Labor, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8610 W Overland Rd, Boise, ID 83709 Phone: 208-954-8711 Fax: 208-375-2217 | |
Mikelle E Mikesell, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8610 W Overland Rd, Boise, ID 83709 Phone: 208-954-8711 |