| Jeremy David Willes, PAC | |
|
260 Falls Ave, Suite C, Twin Falls, ID 83301-3370 | |
| (208) 736-7422 | |
| (208) 736-8905 |
| Full Name | Jeremy David Willes |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 260 Falls Ave, Twin Falls, 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 |
|---|---|---|---|
| 1356314843 | NPI | - | NPPES |
| 000010161378 | Other | ID | BLUE SHIELD |
| 807683300 | Medicaid | ID | |
| 807683301 | Medicaid | ID | |
| PAE68 | Other | ID | BLUE CROSS |
| 000010161377 | Other | ID | BLUE SHIELD |
| 100504125 | Medicaid | NV | |
| PAE69 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA638 (Idaho) | Primary |
| 363AM0700X | Physician Assistant - Medical | PA882 (Nevada) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physicians Immediate Care Of Twin Falls Pa | 0143460717 | 8 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy David Willes, PAC 260 Falls Ave, Suite C, Twin Falls, ID 83301-3370 Ph: (208) 736-7422 | Jeremy David Willes, PAC 260 Falls Ave, Suite C, Twin Falls, ID 83301-3370 Ph: (208) 736-7422 |
Ryan Dennis Hodges, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 388 Martin St, Twin Falls, ID 83301 Phone: 208-734-0451 Fax: 208-734-0452 | |
Heather Mcdonald Nope, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 141 Morrison St, Twin Falls, ID 83301 Phone: 208-737-0572 Fax: 208-734-9441 | |
Mrs. Kimberly Dolecheck Tverdy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 203, Twin Falls, ID 83301 Phone: 208-814-8300 | |
John Laurent Etcheto, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 176 Falls Avenue, Twin Falls, ID 83301 Phone: 208-733-3181 Fax: 208-733-3168 | |
Mindy L Brown, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Suite 3810, Twin Falls, ID 83301 Phone: 208-814-8500 Fax: 208-734-4143 | |
Chuck B Fuller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 660 Shoshone St E, Suite 130, Twin Falls, ID 83301 Phone: 208-732-3400 Fax: 208-732-3300 | |
Nicholas J Perius, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 650 Addison Ave W, Twin Falls, ID 83301 Phone: 208-732-3429 Fax: 208-732-3220 |