| Kim Cheri Wiggins, MD | |
|
738 N College Rd, Suite C, Twin Falls, ID 83301-3385 | |
| (208) 814-7100 | |
| (208) 737-2731 |
| Full Name | Kim Cheri Wiggins |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 738 N College Rd, Twin Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962419770 | NPI | - | NPPES |
| P00899548 | Other | ID | MCRR |
| 1962419770 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | M9039 (Idaho) | Primary |
| Entity Name | St Lukes Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Cheri Wiggins, MD Po Box 587, Twin Falls, ID 83303-0587 Ph: (208) 814-7400 | Kim Cheri Wiggins, MD 738 N College Rd, Suite C, Twin Falls, ID 83301-3385 Ph: (208) 814-7100 |
Joseph Eldon Ostler, M.D., PH.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1840 Canyon Crest Dr, Twin Falls, ID 83301 Phone: 208-814-7100 Fax: 208-814-7138 | |
Baylee Reiser, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 625 Pole Line Rd W Ste 2b, Twin Falls, ID 83301 Phone: 208-814-5300 | |
Dr. Jonathan David Myers, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 738 N College Rd, Suite C, Twin Falls, ID 83301 Phone: 208-814-7100 | |
David Joseph Jensen, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 625 Pole Line Rd W Ste 1a, Twin Falls, ID 83301 Phone: 208-814-5250 | |
Cole Small, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 775 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-2570 | |
Haaris Pervaiz, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1134 Cheney Dr W, Twin Falls, ID 83301 Phone: 208-644-7100 | |
Dr. Jessica Lee Ziebarth, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 738 N College Rd, Suite C, Twin Falls, ID 83301 Phone: 208-814-7100 |