| Jesse Tyler Mcchane, MD | |
|
207 1st St S, Nampa, ID 83651-3703 | |
| (208) 466-7869 | |
| (208) 466-5359 |
| Full Name | Jesse Tyler Mcchane |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 207 1st St S, Nampa, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083297287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M-16990 (Idaho) | Primary |
| 207Q00000X | Family Medicine | MRM-2026 (Idaho) | Secondary |
| Entity Name | Community Health Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457309122 PECOS PAC ID: 4082527353 Enrollment ID: O20040130000055 |
| Entity Name | Saint Alphonsus Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Tyler Mcchane, MD Po Box 9, Nampa, ID 83653-0009 Ph: (208) 461-7149 | Jesse Tyler Mcchane, MD 207 1st St S, Nampa, ID 83651-3703 Ph: (208) 466-7869 |
Dr. Julia Marie Jensen, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 223 16th Ave N, Nampa, ID 83687 Phone: 208-466-7869 Fax: 208-466-5359 | |
Jason Johnston, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1820 Caldwell Blvd, Nampa, ID 83651 Phone: 208-466-6567 Fax: 208-466-7922 | |
Stuart Black, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 223 16th Ave N, Nampa, ID 83687 Phone: 208-466-7869 Fax: 208-466-5359 | |
Heidi Elizabeth Shields, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1150 N Sister Catherine Way, Nampa, ID 83687 Phone: 208-302-7000 Fax: 208-302-7055 | |
Robert B Buxton, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1510 12th Ave Rd, Ste 200, Nampa, ID 83886 Phone: 208-302-6800 Fax: 208-302-6855 | |
Courtney Scott Isaacs, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1510 12th Ave Rd Ste 200, Nampa, ID 83686 Phone: 208-302-6800 Fax: 208-302-6855 |