| Dr Jeremy L Weiss, DO | |
|
775 Pole Line Rd W Ste 301, Twin Falls, ID 83301-5823 | |
| (208) 814-8700 | |
| (208) 933-4914 |
| Full Name | Dr Jeremy L Weiss |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 25 Years |
| Location | 775 Pole Line Rd W Ste 301, 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 |
|---|---|---|---|
| 1447451570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 036166255 (Illinois) | Secondary |
| 208800000X | Urology | 45925 (Colorado) | Secondary |
| 208800000X | Urology | 8061375 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wray Community District Hospital | Wray, CO | Hospital |
| St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wray Community District Hospital | 3274425038 | 29 |
| Floyd Physicians Llc | 6406852375 | 46 |
| St Lukes Clinic Llc | 1052217478 | 294 |
| Entity Name | Wray Community District Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477587202 PECOS PAC ID: 3274425038 Enrollment ID: O20040326000383 |
| Entity Name | Intermountain Medical Group Denver, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083021083 PECOS PAC ID: 0840513552 Enrollment ID: O20150106000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeremy L Weiss, DO 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Dr Jeremy L Weiss, DO 775 Pole Line Rd W Ste 301, Twin Falls, ID 83301-5823 Ph: (208) 814-8700 |
Dr. Nikolai Sopko, M.D., PH.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 301, Twin Falls, ID 83301 Phone: 208-814-8700 Fax: 208-933-4914 | |
Joel Hancock, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2114 Village Park Ave, Twin Falls, ID 83301 Phone: 208-733-3404 Fax: 866-939-1381 | |
Dr. Michael Cameron Sweeney, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 301, Twin Falls, ID 83301 Phone: 208-814-8700 Fax: 208-933-4914 | |
Steven B. Kurtz, M.D. Urology Medicare: Medicare Enrolled Practice Location: 775 Pole Line Rd W Ste 301, Twin Falls, ID 83301 Phone: 208-814-8700 | |
Edward Justin Martinez, Urology Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 301, Twin Falls, ID 83301 Phone: 208-814-8700 | |
Andrew Mazzone, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 301, Twin Falls, ID 83301 Phone: 208-814-8700 |