Jason Forgeon, MD | |
1501 Hiland Ave, Burley, ID 83318-2688 | |
(208) 678-4444 | |
Not Available |
Full Name | Jason Forgeon |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1501 Hiland Ave, Burley, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952961732 | NPI | - | NPPES |
Entity Name | Lehigh Valley Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
Mailing Address | Practice Location Address |
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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 |