Albert Kenneth Jabbour, PA is a medicare enrolled "Physician Assistant - Medical" in Ponderay, Idaho. He graduated from nursing school in 1994 and has 30 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Pulsemd Bonita Llc and his current practice location is
30410 Highway 200, Ponderay, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 263-7101.
Albert Kenneth Jabbour is licensed to practice in West Virginia (license number 516) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013131119.
Provider's Profile
| Full Name | Albert Kenneth Jabbour |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 30 Years |
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| Location | 30410 Highway 200, Ponderay, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Albert Kenneth Jabbour graduated from nursing school in 1994
NPI Data:
- NPI Number: 1013131119
- Provider Enumeration Date: 04/12/2007
- Last Update Date: 03/17/2016
Medicare PECOS Information:
- PECOS PAC ID: 4385681485
- Enrollment ID: I20240118001775
Medical Identifiers
Medical identifiers for Albert Kenneth Jabbour such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013131119 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 516 (West Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pulsemd Bonita Llc | 2365817863 | 4 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Albert Kenneth Jabbour is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Albert Kenneth Jabbour, PA
Po Box 2160,
Sandpoint, ID 83864-0908
Ph: (208) 263-7101 | Albert Kenneth Jabbour, PA
30410 Highway 200,
Ponderay, ID 83852-9601
Ph: (208) 263-7101 |
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