| 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 |
| Location | 1224 8th St, Rupert, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| 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 |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376646869 PECOS PAC ID: 3577476761 Enrollment ID: O20031112000695 |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780870899 PECOS PAC ID: 6406760131 Enrollment ID: O20031117000940 |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578672184 PECOS PAC ID: 3577476761 Enrollment ID: O20031211000464 |
| Entity Name | Uc San Diego Health Community Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659864247 PECOS PAC ID: 3971849175 Enrollment ID: O20190109000943 |
| 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 |
Dr. David Dale Wageman, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1224 8th St, Rupert, ID 83350 Phone: 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 |