| Jacob Kent Christensen, DO | |
|
867 S Vanguard Way, Meridian, ID 83642-7552 | |
| (208) 302-7950 | |
| Not Available |
| Full Name | Jacob Kent Christensen |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 867 S Vanguard Way, Meridian, 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 |
|---|---|---|---|
| 1407237043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | O-1305 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gritman Medical Center | Moscow, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gritman Medical Center Inc | 0941545784 | 17 |
| Entity Name | Gritman Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619988144 PECOS PAC ID: 8729070164 Enrollment ID: O20040402001021 |
| Entity Name | Gritman Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477004828 PECOS PAC ID: 4981984390 Enrollment ID: O20161130002249 |
| Entity Name | Gritman Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538634522 PECOS PAC ID: 0941545784 Enrollment ID: O20181221002296 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Kent Christensen, DO Po Box 190930, Boise, ID 83719-0930 Ph: (208) 302-9342 | Jacob Kent Christensen, DO 867 S Vanguard Way, Meridian, ID 83642-7552 Ph: (208) 302-7950 |
Christina Marie Freston, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1552 N Crestmont Dr Ste B, Meridian, ID 83642 Phone: 208-985-2260 | |
Marisa A Battaglia, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1623 Wells Ave, Meridian, ID 83642 Phone: 208-489-1450 | |
Mrs. Elaine M. Davidson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2840 S Meridian Rd, Meridian, ID 83642 Phone: 208-593-6393 Fax: 208-593-6402 | |
Catherine J Reynolds, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2347 E Gala, Suite 150, Meridian, ID 83642 Phone: 208-345-3530 Fax: 208-381-5080 | |
Raymond Paul Hooft, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3041 E Copper Point Dr, Meridian, ID 83642 Phone: 208-514-4400 Fax: 208-514-4404 | |
Dr. Jason Scott Ludwig, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4740 N Penngrove Way Ste 100, Meridian, ID 83646 Phone: 208-938-3663 Fax: 208-938-3664 | |
Dr. Brenda J Adams, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3090 E Gentry Way, Suite 200, Meridian, ID 83642 Phone: 208-887-6813 Fax: 208-887-6884 |