| Dr Gregory R Jensen, DO | |
|
300 S 3rd W, Soda Springs, ID 83276-1559 | |
| (208) 547-3341 | |
| (208) 547-2790 |
| Full Name | Dr Gregory R Jensen |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 9 Years |
| Location | 300 S 3rd W, Soda Springs, 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 |
|---|---|---|---|
| 1558894220 | NPI | - | NPPES |
| 1942970272 | Medicaid | ID | |
| 1669533154 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | O-1191 (Idaho) | Secondary |
| 207R00000X | Internal Medicine | O-1191 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Caribou Memorial Hospital | Soda springs, ID | Hospital |
| Franklin County Medical Center | Preston, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Caribou Medical Center, Inc | 7618365701 | 23 |
| Entity Name | Mountain View Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
| Entity Name | Franklin County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548355811 PECOS PAC ID: 8820909104 Enrollment ID: O20070917000547 |
| Entity Name | Caribou Medical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942970272 PECOS PAC ID: 7618365701 Enrollment ID: O20220314000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gregory R Jensen, DO 300 S 3rd W, Soda Springs, ID 83276-1559 Ph: (208) 547-3341 | Dr Gregory R Jensen, DO 300 S 3rd W, Soda Springs, ID 83276-1559 Ph: (208) 547-3341 |
Dr. Nita B Weber, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 300 S 3rd W, Soda Springs, ID 83276 Phone: 208-547-3118 Fax: 208-547-2798 |