| Jerel James Brandt, DO | |
|
520 S Eagle Rd, Meridian, ID 83642-6351 | |
| (208) 381-6930 | |
| (208) 381-6931 |
| Full Name | Jerel James Brandt |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 17 Years |
| Location | 520 S Eagle Rd, 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 |
|---|---|---|---|
| 1104051101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 13365 (North Dakota) | Secondary |
| 208600000X | Surgery | LT13365 (North Dakota) | Secondary |
| 208600000X | Surgery | 3371143 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Andrew's Hospital | Bottineau, ND | Hospital |
| Chi St Alexius Health | Bismarck, ND | Hospital |
| Towner County Medical Center | Cando, ND | Hospital |
| Mckenzie County Healthcare Systems Inc | Watford city, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lutheran Charity Association | 2264341031 | 107 |
| Mckenzie County Healthcare Systems Inc | 5890768006 | 43 |
| Trinity Health | 7911816020 | 283 |
| St Alexius Medical Center | 8426960865 | 225 |
| Entity Name | St Alexius Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205868429 PECOS PAC ID: 8426960865 Enrollment ID: O20031104000146 |
| Entity Name | Trinity Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083653752 PECOS PAC ID: 7911816020 Enrollment ID: O20031106000316 |
| Entity Name | Towner County Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124041389 PECOS PAC ID: 6800798497 Enrollment ID: O20040123000581 |
| Entity Name | Lutheran Charity Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821044652 PECOS PAC ID: 2264341031 Enrollment ID: O20040128000565 |
| Entity Name | Good Samaritan Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588751325 PECOS PAC ID: 6002716701 Enrollment ID: O20040225000266 |
| Entity Name | St Aloisius Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457477218 PECOS PAC ID: 6002802378 Enrollment ID: O20040422000286 |
| Entity Name | Carrington Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558389338 PECOS PAC ID: 0547177552 Enrollment ID: O20040810000314 |
| Entity Name | Mckenzie County Healthcare Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063420495 PECOS PAC ID: 5890768006 Enrollment ID: O20040817000016 |
| Entity Name | St Aloisius Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1457477218 PECOS PAC ID: 6002802378 Enrollment ID: O20080421000213 |
| Entity Name | Lutheran Charity Association |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1548256753 PECOS PAC ID: 2264341031 Enrollment ID: O20080616000530 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerel James Brandt, DO Po Box 5010, Minot, ND 58702-5010 Ph: (701) 418-8000 | Jerel James Brandt, DO 520 S Eagle Rd, Meridian, ID 83642-6351 Ph: (208) 381-6930 |
Scott A. Henson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3399 E. Louise Dr., #400, Meridian, ID 83642 Phone: 208-364-3000 | |
Dr. Shelley Kathleen Perkins, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3399 E Louise Dr Ste 400, Meridian, ID 83642 Phone: 208-706-4650 Fax: 208-706-4651 | |
Dr. Ethan A Ferrel, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd Ste 1241, Meridian, ID 83642 Phone: 208-381-6930 Fax: 208-381-6931 | |
Dr. Amir Samir Zakhary Gendy, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd, Meridian, ID 83642 Phone: 208-381-6930 Fax: 208-381-6931 | |
Katherine Elizabeth Kramme, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 3399 E Louise Dr Ste 400, Meridian, ID 83642 Phone: 208-706-4650 Fax: 208-706-4651 | |
Andrew Shay, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd, Meridian, ID 83642 Phone: 208-381-6930 Fax: 208-381-6931 |