| Dr Perry A Jansen, MD, MPH | |
|
13307 Miami Ln, Caldwell, ID 83607-4701 | |
| (208) 455-5300 | |
| (208) 454-7722 |
| Full Name | Dr Perry A Jansen |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 13307 Miami Ln, Caldwell, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417230251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M-13453 (Idaho) | Primary |
| Entity Name | Southwest District Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598748337 PECOS PAC ID: 0143465666 Enrollment ID: O20130403000376 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Perry A Jansen, MD, MPH 13307 Miami Ln, Caldwell, ID 83607-4701 Ph: (208) 455-5300 | Dr Perry A Jansen, MD, MPH 13307 Miami Ln, Caldwell, ID 83607-4701 Ph: (208) 455-5300 |
Stacy Jane Lamers, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 E Elm St Ste 201, Caldwell, ID 83605 Phone: 208-514-2528 Fax: 208-375-2217 | |
Zachary A Leckenby, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 315 E Elm St # 201, Caldwell, ID 83605 Phone: 208-514-2528 | |
Megan A Schwehr, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 808 Cleveland Blvd, Caldwell, ID 83605 Phone: 208-459-1025 Fax: 208-466-5359 | |
Miss J'cinda J'nae Bitters, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 E Logan St Ste 301, Caldwell, ID 83605 Phone: 208-459-4667 Fax: 208-459-3372 | |
Graceful Iris Morris, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 712 Aviation Way, Caldwell, ID 83605 Phone: 208-302-7500 Fax: 208-302-7555 | |
Jessica D Blancett, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 315 E Elm St # 201, Caldwell, ID 83605 Phone: 208-514-2528 | |
Hailey Kim Thu Graviet, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 315 E Elm St # 201, Caldwell, ID 83605 Phone: 208-514-2528 Fax: 208-375-2217 |