Jacob Sup, DO in Caldwell, ID

Jacob Sup, DO is a medicare enrolled "Family Medicine" physician in Caldwell, Idaho. His current practice location is 2005 Arlington Ave, Caldwell, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 459-1025.

Jacob Sup is licensed to practice in Idaho (license number O-1402) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295266401.

Contact Information

	Jacob Sup, DO
	2005 Arlington Ave, Caldwell, ID 83605-4808
	(208) 459-1025
	(208) 459-1080

Map and Direction

Physician's Profile

Full Name	Jacob Sup
Gender	Male
Speciality
Experience	Years
Location	2005 Arlington Ave, Caldwell, 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.

Medical Education and Training:

Jacob Sup attended and graduated from in

NPI Data:

NPI Number: 1295266401
Provider Enumeration Date: 03/21/2017
Last Update Date: 08/07/2020

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Jacob Sup such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295266401	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	O-1402 (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. Jacob Sup is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacob Sup, DO Po Box 9, Nampa, ID 83653-0009 Ph: (208) 467-4431	Jacob Sup, DO 2005 Arlington Ave, Caldwell, ID 83605-4808 Ph: (208) 459-1025

Reviews and Comments

Family Medicine Doctors in Caldwell, ID

Stacy Jane Lamers, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 E Elm St Ste 201, Caldwell, ID 83605 Phone: 208-514-2528 Fax: 208-375-2217
Zachary A Leckenby, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 315 E Elm St # 201, Caldwell, ID 83605 Phone: 208-514-2528
Megan A Schwehr, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 808 Cleveland Blvd, Caldwell, ID 83605 Phone: 208-459-1025 Fax: 208-466-5359
Miss J'cinda J'nae Bitters, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 E Logan St Ste 301, Caldwell, ID 83605 Phone: 208-459-4667 Fax: 208-459-3372
Jessica D Blancett, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 315 E Elm St # 201, Caldwell, ID 83605 Phone: 208-514-2528
Lindsay Kaye Orme, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 E Elm St Ste 201, Caldwell, ID 83605 Phone: 208-514-2528 Fax: 208-375-2217

Jacob Sup, DO - Medicare in Caldwell, ID