Jennifer Petrie, MD | |
2001 E Quail Run Rd, Emmett, ID 83617-5059 | |
(208) 365-7131 | |
(208) 365-4464 |
Full Name | Jennifer Petrie |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 26 Years |
Location | 2001 E Quail Run Rd, Emmett, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891879094 | NPI | - | NPPES |
136314 | Other | MN | UCARE |
HP51751 | Other | MN | HEALTH PARTNERS |
8051964 | Medicaid | ID | |
1043689 | Other | MN | PREFERRED ONE |
317180900 | Medicaid | MN | |
34623200 | Medicaid | WI | |
01-20325 | Other | MN | MEDICA CHOICE |
01-20325 | Other | MN | MEDICA PRIMARY |
0591172 | Medicaid | IA | |
20008330 | Other | ID | PTAN |
2349340 | Other | MT | ARAZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M7802 (Idaho) | Primary |
207Q00000X | Family Medicine | 101703 (Minnesota) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Valor Health | Emmett, ID | Hospital |
St Luke's Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Petrie White Family Medicine Of Idaho | 1355643271 | 2 |
Entity Name | Petrie White Family Medicine Of Idaho |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447629555 PECOS PAC ID: 1355643271 Enrollment ID: O20160111000518 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Petrie, MD 2001 E Quail Run Rd, Emmett, ID 83617-5059 Ph: (208) 365-7131 | Jennifer Petrie, MD 2001 E Quail Run Rd, Emmett, ID 83617-5059 Ph: (208) 365-7131 |
Ryan Atwood, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 207 E 12th St, Emmett, ID 83617 Phone: 208-365-1065 Fax: 208-365-1068 | |
Kirk D Prodzinski, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 207 E 12th St, Emmett, ID 83617 Phone: 208-365-1065 Fax: 208-365-1068 | |
Tina A Mcguffey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 426 Highway 16, Emmett, ID 83617 Phone: 208-365-2735 Fax: 208-365-2737 | |
Jonathan Bret Barrus, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2020 S Johns Ave Ste B, Emmett, ID 83617 Phone: 208-369-4340 | |
Dr. Robin D Sebastian, M.D., FAAFP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 E Locust St, Emmett, ID 83617 Phone: 208-365-6004 Fax: 208-365-3589 | |
Klint Howard Stander, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1202 E Locast St, Walter Knox Memorial Hospital, Emmett, ID 83617 Phone: 208-365-3561 Fax: 208-365-4176 | |
Bryan Stone, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 207 E 12th St, Emmett, ID 83617 Phone: 208-365-1065 Fax: 208-365-1068 |