| Jeffrey L Thompson, PA-C | |
|
3456 E 17th St, Suite 125, Ammon, ID 83406-6757 | |
| (208) 529-2828 | |
| (208) 529-3890 |
| Full Name | Jeffrey L Thompson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 3456 E 17th St, Ammon, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902917966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA585 (Idaho) | Primary |
| Entity Name | Jordan Ridge Family Medicine LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578277950 PECOS PAC ID: 8820091473 Enrollment ID: O20230303001190 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey L Thompson, PA-C 3456 E 17th St, Suite 125, Ammon, ID 83406-6757 Ph: (208) 529-2828 | Jeffrey L Thompson, PA-C 3456 E 17th St, Suite 125, Ammon, ID 83406-6757 Ph: (208) 529-2828 |
Kamlyn Harker, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3067 Eagle Dr, Ammon, ID 83406 Phone: 208-522-4600 |
Devin Kenneth Wernette, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3456 E 17th St Ste 190, Ammon, ID 83406 Phone: 208-524-2222 |
Janna K Baker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3017 Eagle Dr, Ammon, ID 83406 Phone: 208-607-3775 Fax: 208-361-6759 |
Mr. David Dean Buys, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3067 Eagle Dr, Ammon, ID 83406 Phone: 208-522-4600 Fax: 208-552-7521 |
Jordan Neil Hale, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1547 Midway Dr Ste B, Ammon, ID 83406 Phone: 208-497-0429 Fax: 208-497-0430 |
Mrs. Zabrina Yvette Thurman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3456 E 17th St, Suite 125, Ammon, ID 83406 Phone: 208-529-2828 Fax: 208-529-3890 |
Evan Dayne Ivie, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3456 E 17th St Ste 190, Ammon, ID 83406 Phone: 208-524-2222 Fax: 855-999-9242 |