Justin G Smith, MD | |
132 5th Ave W, Suite 1, Jerome, ID 83338-1825 | |
(208) 814-9800 | |
Not Available |
Full Name | Justin G Smith |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 14 Years |
Location | 132 5th Ave W, Jerome, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851612600 | NPI | - | NPPES |
1851612600 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M-12489 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Elmore Medical Center | Mountain home, ID | Hospital |
St Luke's Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic-treasure Valley Llc | 4981878402 | 991 |
Entity Name | St Lukes Clinic-treasure Valley Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Entity Name | Rural Physicians Group-pannu Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861808719 PECOS PAC ID: 0345467486 Enrollment ID: O20140813000673 |
Mailing Address | Practice Location Address |
---|---|
Justin G Smith, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222 | Justin G Smith, MD 132 5th Ave W, Suite 1, Jerome, ID 83338-1825 Ph: (208) 814-9800 |
Dr. James S Irwin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 132 5th Ave W, Suite 1, Jerome, ID 83338 Phone: 208-814-9800 Fax: 208-814-9833 | |
Michael J Keller, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 132 5th Ave W Ste 1, Jerome, ID 83338 Phone: 208-814-9800 | |
Alma Iyon Soud, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 132 5th Ave W Ste 1, Jerome, ID 83338 Phone: 208-814-9800 Fax: 208-933-9651 | |
Brian Lee Johnson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 709 N Lincoln Ave, Jerome, ID 83338 Phone: 208-324-4301 | |
Elizabeth Hart Sugden, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 132 5th Ave W, Jerome, ID 83338 Phone: 208-324-5286 Fax: 208-324-9815 | |
Logan Anderson, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 132 5th Ave W Ste 1&2, Jerome, ID 83338 Phone: 208-814-9800 | |
Nelson S Browning, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 132 5th Ave W Ste 1, Jerome, ID 83338 Phone: 208-814-9800 |