Jacob Kammer, MD | |
6533 W Emerald St, Boise, ID 83704-8737 | |
(208) 367-4197 | |
(208) 367-8136 |
Full Name | Jacob Kammer |
---|---|
Gender | Male |
Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
Location | 6533 W Emerald St, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194761460 | NPI | - | NPPES |
806963700 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | M9116 (Idaho) | Primary |
Entity Name | Saint Alphonsus Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
Mailing Address | Practice Location Address |
---|---|
Jacob Kammer, MD 3340 E Goldstone Way, Meridian, ID 83642-1026 Ph: (208) 367-5189 | Jacob Kammer, MD 6533 W Emerald St, Boise, ID 83704-8737 Ph: (208) 367-4197 |
Rachael Ann Crawford, ATC Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 6875 W Preece Ln, Boise, ID 83704 Phone: 208-297-9504 | |
Thomas Barrett Eschen, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 115 Provident, Boise, ID 83706 Phone: 208-343-6703 Fax: 208-343-6703 | |
Glenn C Bothwell, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 703 S Americana Blvd, Boise, ID 83702 Phone: 208-706-7500 | |
Dr. Stephen David Leonard, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 3815 W Rickenbacker St, Suite 213, Boise, ID 83705 Phone: 208-901-4493 Fax: 208-917-8605 | |
Dr. Margaret Kay Cook-shimanek, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 6533 Emerald Street, Boise, ID 83704 Phone: 208-367-4197 Fax: 208-367-8136 | |
Michael P Gibson, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 6533 W Emerald St, Boise, ID 83704 Phone: 208-367-4197 Fax: 208-367-8136 |