Dr Jackson Joseph Bell, DO | |
6640 Kaniksu St, Bonners Ferry, ID 83805-7532 | |
(208) 267-3141 | |
(208) 267-4838 |
Full Name | Dr Jackson Joseph Bell |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 6640 Kaniksu St, Bonners Ferry, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396208070 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | OP61493043 (Washington) | Secondary |
208M00000X | Hospitalist | O-1889 (Idaho) | Secondary |
207P00000X | Emergency Medicine | O-1889 (Idaho) | Primary |
Entity Name | Bonner General Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154563963 PECOS PAC ID: 4082690466 Enrollment ID: O20040626000014 |
Entity Name | Benewah Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386632180 PECOS PAC ID: 1850200700 Enrollment ID: O20040927000265 |
Entity Name | Boundary Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801896683 PECOS PAC ID: 3274583406 Enrollment ID: O20050126000312 |
Entity Name | Benewah Community Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1548320435 PECOS PAC ID: 1850200700 Enrollment ID: O20061104000136 |
Entity Name | Hospitalist Medicine Physicians Of Idaho- Nampa Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558995316 PECOS PAC ID: 2365871688 Enrollment ID: O20200407001850 |
Mailing Address | Practice Location Address |
---|---|
Dr Jackson Joseph Bell, DO 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 Ph: (208) 267-3141 | Dr Jackson Joseph Bell, DO 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 Ph: (208) 267-3141 |
Mark Pruitt, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6640 Kaniksu St, Bonners Ferry, ID 83805 Phone: 208-267-3141 | |
Matthew Wallace Johnson, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6640 Kaniksu St, Bonners Ferry, ID 83805 Phone: 208-267-3141 | |
Robert Yost, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6640 Kaniksu St, Boundar Community Hospital, Bonners Ferry, ID 83805 Phone: 208-267-3141 | |
William Lamont Worden, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6640 Kaniksu St, Bonners Ferry, ID 83805 Phone: 208-267-3141 Fax: 208-267-2202 | |
Stuart Kendall Willis Iii, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6640 Kaniksu St, Bonners Ferry, ID 83805 Phone: 208-267-4850 Fax: 208-267-2202 | |
Dr. Kenton Bing-hock Goh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6640 Kaniksu St, Bonners Ferry, ID 83805 Phone: 208-267-3141 Fax: 208-267-2202 |