| Alyssa Jenkins, PA-C | |
|
3820 Crestwood Ln, Idaho Falls, ID 83404 | |
| (208) 552-7700 | |
| (208) 552-1786 |
| Full Name | Alyssa Jenkins |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 3820 Crestwood Ln, Idaho 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 |
|---|---|---|---|
| 1144772237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA-1436 (Idaho) | Primary |
| Entity Name | Family First Medical Center PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033314273 PECOS PAC ID: 1052480076 Enrollment ID: O20080516000580 |
| Entity Name | Badger Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619134277 PECOS PAC ID: 3173794187 Enrollment ID: O20110923000401 |
| Mailing Address | Practice Location Address |
|---|---|
| Alyssa Jenkins, PA-C 3820 Crestwood Ln, Idaho Falls, ID 83404-4979 Ph: (208) 552-7700 | Alyssa Jenkins, PA-C 3820 Crestwood Ln, Idaho Falls, ID 83404 Ph: (208) 552-7700 |
Mr. Kelly Meacham, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3389 Merlin Dr, Idaho Falls, ID 83404 Phone: 208-552-9831 |
Brigham Taylor, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3385 Potomac Way, Idaho Falls, ID 83404 Phone: 208-522-7246 |
Chloe Olivia Seegmiller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3500 Potomac Way Ste 100, Idaho Falls, ID 83404 Phone: 208-522-7666 Fax: 208-524-2821 |
Tina Marie Murdock, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3111 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-0067 |
Lee S Gardner, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2725 Channing Way, Idaho Falls, ID 83404 Phone: 208-525-8448 Fax: 208-525-8118 |
Johnathon Chase Wilde, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3820 Crestwood Ln, Idaho Falls, ID 83404 Phone: 208-552-7700 |
David Landen Day, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2985 Cortez Ave, Idaho Falls, ID 83404 Phone: 208-523-3373 Fax: 208-523-8746 |