Jill Denise Veber, MD | |
3430 Washington Pkwy, Idaho Falls, ID 83404-7579 | |
(208) 523-3060 | |
(208) 523-0028 |
Full Name | Jill Denise Veber |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 3430 Washington Pkwy, Idaho Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235243973 | NPI | - | NPPES |
000010003484 | Other | ID | BLUE SHIELD |
003990000 | Medicaid | ID | |
1285786046 | Medicaid | WY | |
0117429 | Medicaid | MT | |
53579 | Other | ID | BLUE CROSS |
110703800 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | M5357 (Idaho) | Primary |
208000000X | Pediatrics | 3729A (Wyoming) | Secondary |
208000000X | Pediatrics | 53037 (Ohio) | Secondary |
Entity Name | Lander Valley Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215971510 PECOS PAC ID: 5597657080 Enrollment ID: O20040329000810 |
Mailing Address | Practice Location Address |
---|---|
Jill Denise Veber, MD 3430 Washington Pkwy, Idaho Falls, ID 83404-7579 Ph: (208) 523-3060 | Jill Denise Veber, MD 3430 Washington Pkwy, Idaho Falls, ID 83404-7579 Ph: (208) 523-3060 |
Shannon Jenkins, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2860 Channing Way, Suite 100, Idaho Falls, ID 83404 Phone: 208-535-4575 Fax: 208-535-4569 | |
Eric Peter Olson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3430 Washington Parkway, Idaho Falls, ID 83404 Phone: 208-523-3060 Fax: 208-523-0028 | |
Dr. Jeffrey John Aughney, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3430 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-523-3060 | |
Brad Reid Edwards, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3430 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-523-3060 Fax: 208-523-0028 | |
Dr. Nephi Andersen Redd, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3320 S 25th E, Idaho Falls, ID 83404 Phone: 208-656-1500 | |
Dr. Joshua Michael Smith, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3910 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-523-1122 Fax: 208-523-2582 | |
Dr. Steven Blake Colson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2330 Desoto St, Idaho Falls, ID 83404 Phone: 208-528-1039 Fax: 208-528-1939 |