| Jared P Tadje, MD | |
|
2365 E Gala St Ste 1, Meridian, ID 83642 | |
| (208) 515-2654 | |
| (877) 587-3112 |
| Full Name | Jared P Tadje |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 24 Years |
| Location | 2365 E Gala St Ste 1, 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 |
|---|---|---|---|
| 1821006289 | NPI | - | NPPES |
| 76938 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | A95193 (California) | Secondary |
| 207X00000X | Orthopaedic Surgery | 11808 (Nevada) | Secondary |
| 207X00000X | Orthopaedic Surgery | M9901 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Treasure Valley Hospital | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tadje Orthopaedics Llc | 2365751617 | 3 |
| St Lukes Clinic-treasure Valley Llc | 4981878402 | 1062 |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Entity Name | Tadje Orthopaedics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356719108 PECOS PAC ID: 2365751617 Enrollment ID: O20151027002749 |
| Mailing Address | Practice Location Address |
|---|---|
| Jared P Tadje, MD 1940 S Bonito Way Ste 190, Meridian, ID 83642-5618 Ph: (208) 287-9420 | Jared P Tadje, MD 2365 E Gala St Ste 1, Meridian, ID 83642 Ph: (208) 515-2654 |
Jesse Dylan Chlebeck, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 875 S Vanguard Way, Meridian, ID 83642 Phone: 208-463-3000 | |
William Daniel Bradley, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2960 E. St. Lukes St., Ste. 200, Meridian, ID 83642 Phone: 208-992-5212 Fax: 208-992-5452 | |
Dr. Jonathon Curtis Wolf, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 875 S Vanguard Way Ste 200b, Meridian, ID 83642 Phone: 208-563-0001 Fax: 208-563-0777 | |
Louis Horst Poppler, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3399 E Louise Dr Ste 400, Meridian, ID 83642 Phone: 208-364-3000 | |
Dr. Justin Stephan Roth, D.O. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3399 E Louise Dr Ste 200, Meridian, ID 83642 Phone: 208-706-2663 | |
Mikayla Lynn Taugher, PA-C Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2365 E Gala St Ste 1, Meridian, ID 83642 Phone: 208-515-2654 | |
Dr. Paul Calvin Collins, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3875 E Overland Rd, Meridian, ID 83642 Phone: 208-287-0203 Fax: 208-288-5490 |