Dr Jessica Bagby, MD | |
1224 8th St, Rupert, ID 83350-1527 | |
(208) 436-0481 | |
Not Available |
Full Name | Dr Jessica Bagby |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 8 Years |
Location | 1224 8th St, Rupert, 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 |
---|---|---|---|
1093161473 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | M-16485 (Idaho) | Secondary |
207P00000X | Emergency Medicine | A150392 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Minidoka Memorial Hospital | Rupert, ID | Hospital |
St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intermountain Healthcare Services, Inc | 1850209420 | 3063 |
Entity Name | St Lukes Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
Entity Name | Ihc Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710156922 PECOS PAC ID: 1850209420 Enrollment ID: O20040325001015 |
Entity Name | Minidoka Memorial Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1679553531 PECOS PAC ID: 7315908894 Enrollment ID: O20061104000542 |
Mailing Address | Practice Location Address |
---|---|
Dr Jessica Bagby, MD Po Box 232410, San Diego, CA 92193-2410 Ph: () - | Dr Jessica Bagby, MD 1224 8th St, Rupert, ID 83350-1527 Ph: (208) 436-0481 |
Lanny F Campbell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1308 8th St Ste 1, Rupert, ID 83350 Phone: 208-436-4322 Fax: 208-436-1312 |