| Santibanez Pac Idaho | |
|
840 E Elva St Idaho Falls ID 83401-2801 | |
| (208) 523-4795 | |
| Not Available |
| Full Name | Santibanez Pac Idaho |
|---|---|
| Speciality | Internal Medicine |
| Location | 840 E Elva St, Idaho Falls, Idaho |
| Authorized Official Name and Position | Julie Roser (VP OF OPERATIONS) |
| Authorized Official Contact | 7752220045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santibanez Pac Idaho 10775 Double R Blvd Reno NV 89521-8956 Ph: () - | Santibanez Pac Idaho 840 E Elva St Idaho Falls ID 83401-2801 Ph: (208) 523-4795 |
| NPI Number | 1346015948 |
|---|---|
| Provider Enumeration Date | 11/24/2023 |
| Last Update Date | 11/24/2023 |
| Medicare PECOS PAC ID | 2961846209 |
|---|---|
| Medicare Enrollment ID | O20240215000080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346015948 | NPI | - | NPPES |
| Provider Name | Jorge Santibanez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568446672 PECOS PAC ID: 9739179847 Enrollment ID: I20170830003648 |
| Provider Name | James A Thomson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396070611 PECOS PAC ID: 4183870744 Enrollment ID: I20190226002619 |
| Provider Name | Christine Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558060202 PECOS PAC ID: 6800256165 Enrollment ID: I20230718002335 |
| Provider Name | Jesse J Twu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508216581 PECOS PAC ID: 5193013027 Enrollment ID: I20230919003052 |
Shane G Machen, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1995 E 17th St Ste A, Idaho Falls, ID 83404 Phone: 208-522-7666 Fax: 208-524-2821 | |
Physician Skin Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-542-9111 | |
Family First Medical Center, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3614 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-552-7700 Fax: 208-552-1783 | |
Imed Hrs Idaho Falls Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 801-507-3500 | |
Neville Spinal Balance Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2145 West Broadway Street, Idaho Falls, ID 83402 Phone: 208-522-3130 | |
R.k. Arbon, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2860 Channing Way, Suite 116, Idaho Falls, ID 83404 Phone: 208-529-0575 Fax: 208-528-0223 | |
Idaho Falls Family & Sports Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3360 Washington Pkwy, Suite 1, Idaho Falls, ID 83404 Phone: 208-524-3416 Fax: 208-524-3138 |