| Jason Forgeon, MD | |
|
1501 Hiland Ave, Burley, ID 83318-2688 | |
| (208) 678-4444 | |
| Not Available |
| Full Name | Jason Forgeon |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 6 Years |
| Location | 1501 Hiland Ave, Burley, 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 |
|---|---|---|---|
| 1952961732 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Valley Medical Center - Cah | Nephi, UT | Hospital |
| Castleview Hospital | Price, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Emergency Services Llc | 1850785296 | 12 |
| Central Valley Medical Center | 2668380460 | 19 |
| Entity Name | Central Valley Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992724975 PECOS PAC ID: 2668380460 Enrollment ID: O20040419000626 |
| Entity Name | Central Valley Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1881658110 PECOS PAC ID: 2668380460 Enrollment ID: O20061104000178 |
| Entity Name | West Emergency Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548929565 PECOS PAC ID: 1850785296 Enrollment ID: O20220228002097 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Forgeon, MD Po Box 30180, Salt Lake City, UT 84130-0180 Ph: () - | Jason Forgeon, MD 1501 Hiland Ave, Burley, ID 83318-2688 Ph: (208) 678-4444 |
Jennifer Raae-nielsen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Hiland Ave, Burley, ID 83318 Phone: 516-593-1380 Fax: 516-320-8983 | |
Taryn Bradley Collins, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Hiland Ave, Burley, ID 83318 Phone: 801-507-9700 | |
Dr. Robert Calvin Root, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Hiland Ave, Burley, ID 83318 Phone: 208-678-4444 | |
Daniel M Henrie, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1501 Hiland Ave, Burley, ID 83318 Phone: 208-678-4444 |