| Jeb William Rodgers, MD | |
|
100 Hospital Dr, Ketchum, ID 83340 | |
| (208) 727-8100 | |
| Not Available |
| Full Name | Jeb William Rodgers |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 8 Years |
| Location | 100 Hospital Dr, Ketchum, 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 |
|---|---|---|---|
| 1457872061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2017023064 (Missouri) | Secondary |
| 207P00000X | Emergency Medicine | M-15000 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Wood River Medical Center | Ketchum, ID | Hospital |
| Minidoka Memorial Hospital | Rupert, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minidoka Memorial Hospital | 7315908894 | 30 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710156922 PECOS PAC ID: 1850209420 Enrollment ID: O20040325001015 |
| Entity Name | Minidoka Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679553531 PECOS PAC ID: 7315908894 Enrollment ID: O20050801000086 |
| Entity Name | Minidoka Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1679553531 PECOS PAC ID: 7315908894 Enrollment ID: O20061104000542 |
| Entity Name | St Lukes Clinic - Wood River Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972891604 PECOS PAC ID: 3173783818 Enrollment ID: O20120404000474 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeb William Rodgers, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Jeb William Rodgers, MD 100 Hospital Dr, Ketchum, ID 83340 Ph: (208) 727-8100 |
Kevin Kittleson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Drive, Ketchum, ID 83340 Phone: 208-727-8100 | |
Dr. Janet Anne Rosenquist, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Drive., Ketchum, ID 83340 Phone: 208-727-8100 Fax: 208-727-8124 | |
Keith Thomas Sivertson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Hospital Drive, Ketchum, ID 83340 Phone: 208-727-8445 Fax: 298-727-8446 | |
Kelly Dilorenzo, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Hospital Dr, Ketchum, ID 83340 Phone: 208-727-8100 | |
Deborah G Robertson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Hospital Drive, Ketchum, ID 83340 Phone: 208-727-8100 | |
Dr. Jennie Hooper, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Ketchum, ID 83340 Phone: 208-727-8283 | |
Mrs. Autumn M Loomis, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Hospital Dr, Ketchum, ID 83340 Phone: 208-727-8100 |