Jared Brent Keller, PA | |
402 6th St, Rupert, ID 83350-1619 | |
(208) 650-7941 | |
(208) 436-0735 |
Full Name | Jared Brent Keller |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 11 Years |
Location | 402 6th St, Rupert, 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 |
---|---|---|---|
1861822439 | NPI | - | NPPES |
2013041111 | Other | MO | MISSOURI LICENSE 2013041111 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA-1256 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Minidoka Memorial Hospital | Rupert, ID | Hospital |
Cassia Regional Hospital | Burley, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Family Health Services Corporation | 7012815038 | 44 |
Mailing Address | Practice Location Address |
---|---|
Jared Brent Keller, PA 794 Eastland Dr, Twin Falls, ID 83301-6856 Ph: (208) 737-6718 | Jared Brent Keller, PA 402 6th St, Rupert, ID 83350-1619 Ph: (208) 650-7941 |
Victoria Rose Vega, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 402 6th St, Rupert, ID 83350 Phone: 208-650-7941 | |
Hayden Wheatley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 402 6th St, Rupert, ID 83350 Phone: 208-650-7941 |