Jenny Rickell Willmore, PA-C | |
605 Maple Ave, Saint Anthony, ID 83445-5529 | |
(208) 624-4002 | |
(208) 624-4409 |
Full Name | Jenny Rickell Willmore |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Experience | 21 Years |
Location | 605 Maple Ave, Saint Anthony, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003992140 | NPI | - | NPPES |
807122700 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA-519 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Madison Memorial Hospital | Rexburg, ID | Hospital |
Teton Valley Hospital | Driggs, ID | Hospital |
Mountain View Hospital | Idaho falls, ID | Hospital |
St Johns Medical Center | Jackson, WY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Madison Memorial Hospital | 4183949522 | 15 |
Mailing Address | Practice Location Address |
---|---|
Jenny Rickell Willmore, PA-C 605 Maple Ave, Saint Anthony, ID 83445-5529 Ph: (208) 624-4402 | Jenny Rickell Willmore, PA-C 605 Maple Ave, Saint Anthony, ID 83445-5529 Ph: (208) 624-4002 |
Ryan G Willmore, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 335 E Main St Ste 1, Saint Anthony, ID 83445 Phone: 208-356-4900 Fax: 208-624-4116 | |
Andrew Logan Brower, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 335 E Main St Ste 1, Saint Anthony, ID 83445 Phone: 208-356-4900 Fax: 208-624-4116 | |
Bryce David Wylie, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 335 E Main St Ste 1, Saint Anthony, ID 83445 Phone: 208-356-4900 Fax: 208-624-4116 | |
Joshua L Gilgen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 335 E Main St Ste 1, Saint Anthony, ID 83445 Phone: 208-356-4900 Fax: 208-624-4116 | |
Robert Creighton Shumway, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 335 E Main St, Saint Anthony, ID 83445 Phone: 208-356-4900 Fax: 208-624-4030 |