| Jared Brent Keller, PA | |
|
402 6th St, Rupert, ID 83350-1619 | |
| (208) 650-7941 | |
| (208) 436-0735 |
| Full Name | Jared Brent Keller |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 402 6th St, Rupert, 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 |
|---|---|---|---|
| 1861822439 | NPI | - | NPPES |
| 2013041111 | Other | MO | MISSOURI LICENSE 2013041111 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-1256 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Minidoka Memorial Hospital | Rupert, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Health Services Corporation | 7012815038 | 47 |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Brent Keller, PA 794 Eastland Dr, Twin Falls, ID 83301-6856 Ph: (208) 737-6718 | Jared Brent Keller, PA 402 6th St, Rupert, ID 83350-1619 Ph: (208) 650-7941 |
Victoria Rose Vega, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 402 6th St, Rupert, ID 83350 Phone: 208-650-7941 | |
Hayden Wheatley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 402 6th St, Rupert, ID 83350 Phone: 208-650-7941 |