Jdee Ryan Wilson, MD | |
700 E Alice St, State Hospital South, Blackfoot, ID 83221 | |
(208) 785-1200 | |
(208) 785-8516 |
Full Name | Jdee Ryan Wilson |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 700 E Alice St, Blackfoot, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598828816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | M9137 (Idaho) | Primary |
Entity Name | Mental Health Specialists |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548585458 PECOS PAC ID: 1658665427 Enrollment ID: O20160802003169 |
Mailing Address | Practice Location Address |
---|---|
Jdee Ryan Wilson, MD 700 E Alice St, State Hospital South, Blackfoot, ID 83221 Ph: (208) 785-1200 | Jdee Ryan Wilson, MD 700 E Alice St, State Hospital South, Blackfoot, ID 83221 Ph: (208) 785-1200 |
Dr. Kelly Page Palmer, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 700 East Alice Street, Blackfoot, ID 83221 Phone: 208-785-8517 Fax: 208-785-8516 | |
Andrew L Olnes, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 700 E Alice St, Blackfoot, ID 83221 Phone: 208-785-1200 Fax: 208-785-8516 |