John Arthur Jarrell Iv, MD | |
3090 E Gentry Way Ste 210, Meridian, ID 83642-3550 | |
(208) 302-2200 | |
(208) 302-2255 |
Full Name | John Arthur Jarrell Iv |
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Gender | Male |
Speciality | Surgery - Plastic And Reconstructive Surgery |
Location | 3090 E Gentry Way Ste 210, Meridian, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1588877641 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 36567 (South Carolina) | Secondary |
2086S0122X | Surgery - Plastic And Reconstructive Surgery | M-13729 (Idaho) | Primary |
Entity Name | Saint Alphonsus Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
Mailing Address | Practice Location Address |
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John Arthur Jarrell Iv, MD Po Box 4885, Boise, ID 83711-4885 Ph: (208) 810-2245 | John Arthur Jarrell Iv, MD 3090 E Gentry Way Ste 210, Meridian, ID 83642-3550 Ph: (208) 302-2200 |
Scott A. Henson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3399 E. Louise Dr., #400, Meridian, ID 83642 Phone: 208-364-3000 | |
Dr. Shelley Kathleen Perkins, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3399 E Louise Dr Ste 400, Meridian, ID 83642 Phone: 208-706-4650 Fax: 208-706-4651 | |
Dr. Ethan A Ferrel, MD Surgery Medicare: Medicare Enrolled Practice Location: 520 S Eagle Rd Ste 1241, Meridian, ID 83642 Phone: 208-381-6930 Fax: 208-381-6931 | |
Katherine Elizabeth Kramme, DO Surgery Medicare: Medicare Enrolled Practice Location: 3399 E Louise Dr Ste 400, Meridian, ID 83642 Phone: 208-706-4650 Fax: 208-706-4651 | |
Dr. Britani Rhea Hill, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd Ste 1241, Meridian, ID 83642 Phone: 208-381-6930 | |
Rebecca D Shaw, CFA Surgery Medicare: Not Enrolled in Medicare Practice Location: 3630 E Louise Dr, Meridian, ID 83642 Phone: 208-377-9515 | |
Clayton Miller, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd Ste 1241, Meridian, ID 83642 Phone: 208-381-6930 |