| Jennifer Backman, DO | |
|
25 Jacobs Gulch Rd, Kellogg, ID 83837-2023 | |
| (208) 784-1221 | |
| (208) 784-0961 |
| Full Name | Jennifer Backman |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 25 Jacobs Gulch Rd, Kellogg, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306862388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO25595 (Oregon) | Secondary |
| 207Q00000X | Family Medicine | O-1192 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Shoshone Medical Center | Kellogg, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shoshone Medical Center | 6103739107 | 25 |
| Entity Name | Shoshone Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043215437 PECOS PAC ID: 6103739107 Enrollment ID: O20050113001084 |
| Entity Name | Shoshone Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1043215437 PECOS PAC ID: 6103739107 Enrollment ID: O20061104000442 |
| Entity Name | Shoshone Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1043215437 PECOS PAC ID: 6103739107 Enrollment ID: O20071003000175 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Backman, DO 2051 Kaen Rd, Suite 367, Oregon City, OR 97045-4035 Ph: (503) 742-5300 | Jennifer Backman, DO 25 Jacobs Gulch Rd, Kellogg, ID 83837-2023 Ph: (208) 784-1221 |
Dr. Jessica Ann Harnisch-boyd, DO, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25 Jacobs Gulch Rd, Kellogg, ID 83837 Phone: 208-784-1221 Fax: 208-784-0961 | |
Ms. Jocelyn J Korasick, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 Mckinley Ave, Kellogg, ID 83837 Phone: 208-783-1267 Fax: 844-807-3782 | |
Steven J Malek, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 Mckinley Ave, Kellogg, ID 83837 Phone: 208-625-4000 | |
Melissa Rix, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 Mckinley Ave, Kellogg, ID 83837 Phone: 208-783-1267 |