Jacob Kent Christensen, DO | |
2500 W A St Ste 101, Moscow, ID 83843-6000 | |
(208) 882-0540 | |
(208) 883-1853 |
Full Name | Jacob Kent Christensen |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 9 Years |
Location | 2500 W A St Ste 101, Moscow, 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 |
---|---|---|---|
1407237043 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | O-1305 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gritman Medical Center | Moscow, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gritman Medical Center Inc | 0941545784 | 20 |
Entity Name | Gritman Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619988144 PECOS PAC ID: 8729070164 Enrollment ID: O20040402001021 |
Entity Name | Gritman Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477004828 PECOS PAC ID: 4981984390 Enrollment ID: O20161130002249 |
Entity Name | Gritman Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538634522 PECOS PAC ID: 0941545784 Enrollment ID: O20181221002296 |
Mailing Address | Practice Location Address |
---|---|
Jacob Kent Christensen, DO 623 S Main St Ste 1, Moscow, ID 83843-3042 Ph: (208) 882-2011 | Jacob Kent Christensen, DO 2500 W A St Ste 101, Moscow, ID 83843-6000 Ph: (208) 882-0540 |
Glenn David Rych, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 623 S Main St, Moscow, ID 83843 Phone: 208-882-2011 Fax: 208-883-1853 | |
Patricia N. Marciano, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 W A St Ste 101, Moscow, ID 83843 Phone: 208-882-2011 Fax: 208-883-1853 | |
Dr. Matthew Rice, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 803 S Main St Ste 120, Moscow, ID 83843 Phone: 208-848-8300 Fax: 509-444-7806 | |
Dr. Jacques Maurice Bouchard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 623 S Main St Ste 1, Moscow, ID 83843 Phone: 208-882-2011 | |
Christopher Michael Standley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 | |
Helen Marie Shearer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 W A St Ste 101, Moscow, ID 83843 Phone: 208-882-2011 Fax: 208-883-1853 | |
Vicky M Lott, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 623 South Main Street, Moscow, ID 83843 Phone: 208-882-2011 Fax: 208-883-1853 |