| Jenny Rickell Willmore, PA-C | |
|
605 Maple Ave, Saint Anthony, ID 83445-5529 | |
| (208) 624-4002 | |
| (208) 624-4409 |
| Full Name | Jenny Rickell Willmore |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 605 Maple Ave, Saint Anthony, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003992140 | NPI | - | NPPES |
| 807122700 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-519 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Madison Memorial Hospital | Rexburg, ID | Hospital |
| Teton Valley Hospital | Driggs, ID | Hospital |
| Mountain View Hospital | Idaho falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Teton Valley Health Care Inc | 3870744956 | 31 |
| Madison Memorial Hospital | 4183949522 | 18 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenny Rickell Willmore, PA-C 605 Maple Ave, Saint Anthony, ID 83445-5529 Ph: (208) 624-4402 | Jenny Rickell Willmore, PA-C 605 Maple Ave, Saint Anthony, ID 83445-5529 Ph: (208) 624-4002 |
Daniel A Squire, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 335 E Main St Ste 3, Saint Anthony, ID 83445 Phone: 208-356-4900 Fax: 208-624-4030 | |
Ryan G Willmore, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 335 E Main St Ste 1, Saint Anthony, ID 83445 Phone: 208-356-4900 Fax: 208-624-4116 | |
Andrew Logan Brower, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 335 E Main St Ste 1, Saint Anthony, ID 83445 Phone: 208-356-4900 Fax: 208-624-4116 | |
Bryce David Wylie, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 335 E Main St Ste 1, Saint Anthony, ID 83445 Phone: 208-356-4900 Fax: 208-624-4116 | |
Robert Creighton Shumway, PA-C, CAQ-PSYCH Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 335 E Main St Ste 3, Saint Anthony, ID 83445 Phone: 208-356-4900 Fax: 208-624-4030 |