| Jacob Walker, PA-C | |
|
382 N Overland Ave, Burley, ID 83318-3433 | |
| (208) 678-6996 | |
| (208) 678-6866 |
| Full Name | Jacob Walker |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 382 N Overland Ave, Burley, 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 |
|---|---|---|---|
| 1033651989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA-1452 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urgent Care Of Idaho Llc | 8527381136 | 17 |
| Entity Name | River View Urgent Care & Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790043693 PECOS PAC ID: 6901056555 Enrollment ID: O20121017000548 |
| Entity Name | Urgent Care of Idaho LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538578687 PECOS PAC ID: 8527381136 Enrollment ID: O20150106000297 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Walker, PA-C 738 Monroe St, Twin Falls, ID 83301-3857 Ph: (208) 404-2333 | Jacob Walker, PA-C 382 N Overland Ave, Burley, ID 83318-3433 Ph: (208) 678-6996 |
Henry Rainbolt Iii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 382 N Overland Ave, Burley, ID 83318 Phone: 208-933-4442 |
Mr. Logan Nielson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 382 N Overland Ave, Burley, ID 83318 Phone: 208-678-6996 |
Dallon Higgs, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 382 N Overland Ave, Burley, ID 83318 Phone: 208-678-6996 |
Mitch T Robinson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1501 Hiland Ave Ste C, Burley, ID 83318 Phone: 208-677-6080 Fax: 208-677-6090 |
Mr. Curtis Samuel Nielson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1404 Pomerelle Ave, Burley, ID 83318 Phone: 208-878-8783 Fax: 208-878-8786 |
Brandon Pope, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1501 Hiland Ave, Burley, ID 83318 Phone: 208-678-4444 |
Tyson Darrell Greener, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 260 E 5th St N, Burley, ID 83318 Phone: 208-678-9760 Fax: 208-678-9758 |