| Dr Jamie Glen House, MD | |
|
700 W Ironwood Dr Ste 158, Coeur D Alene, ID 83814-4404 | |
| (208) 625-5100 | |
| (208) 625-5101 |
| Full Name | Dr Jamie Glen House |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 29 Years |
| Location | 700 W Ironwood Dr Ste 158, Coeur D Alene, 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 |
|---|---|---|---|
| 1205816782 | NPI | - | NPPES |
| 54701279 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | IMLC.MD.61124854 (Washington) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | M-17311 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kootenai Health | Coeur d'alene, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kootenai Health Inc | 1355792276 | 382 |
| Entity Name | Kootenai Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235288655 PECOS PAC ID: 4789641598 Enrollment ID: O20041214000230 |
| Entity Name | Kootenai Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jamie Glen House, MD 700 W Ironwood Dr Ste 158, Coeur D Alene, ID 83814-4404 Ph: (208) 625-5100 | Dr Jamie Glen House, MD 700 W Ironwood Dr Ste 158, Coeur D Alene, ID 83814-4404 Ph: (208) 625-5100 |
Michael A Ludwig, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1839 N Government Way, Coeur D Alene, ID 83814 Phone: 208-765-0156 Fax: 208-292-3177 | |
Madeline Grace Stewart, NP Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 909 W Canfield Ave, Coeur D Alene, ID 83815 Phone: 208-292-4006 Fax: 866-229-7081 | |
Erin Blakley, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 370 E Kathleen Ave Ste 500, Coeur D Alene, ID 83815 Phone: 208-292-1372 Fax: 208-292-1374 | |
Dr. Neilly Ann Buckalew, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3330 N Grand Mill Ln, Coeur D Alene, ID 83814 Phone: 208-777-5511 | |
Yvonne L Elliott, P.T. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2448 N Merrit Creek Loop, Suite 2a, Coeur D Alene, ID 83814 Phone: 208-664-2901 Fax: 208-667-9266 |