| Sam Jensen Wright, PA | |
|
2725 Channing Way, Idaho Falls, ID 83404-7510 | |
| (208) 525-8448 | |
| Not Available |
| Full Name | Sam Jensen Wright |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 2725 Channing Way, Idaho Falls, 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 |
|---|---|---|---|
| 1457023244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA-2117 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Idaho Falls Community Hospital, Llc | Idaho falls, ID | Hospital |
| Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
| Mountain View Hospital | Idaho falls, ID | Hospital |
| Bingham Memorial Hospital | Blackfoot, ID | Hospital |
| Madison Memorial Hospital | Rexburg, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Teton Radiology Diagnostic A Series Of Teton Group Enterprise | 1254436959 | 43 |
| Medical Imaging Associates Of Idaho Falls Inc | 7618876590 | 66 |
| Entity Name | Medical Imaging Associates of Idaho Falls Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740225531 PECOS PAC ID: 7618876590 Enrollment ID: O20040108000883 |
| Entity Name | Mountain View Hospital LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
| Entity Name | Teton Radiology Diagnostic a Series of Teton Group Enterprise |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013085604 PECOS PAC ID: 1254436959 Enrollment ID: O20070424000540 |
| Entity Name | Teton Radiology Madison LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407081060 PECOS PAC ID: 6901958024 Enrollment ID: O20090720000575 |
| Entity Name | Community Care West Side LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295009785 PECOS PAC ID: 3678738218 Enrollment ID: O20120703000554 |
| Entity Name | Teton Vascular Institute of Pocatello a Series of Teton Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508224379 PECOS PAC ID: 8921306846 Enrollment ID: O20160409000003 |
| Entity Name | CC Pocatello LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538517156 PECOS PAC ID: 8527353176 Enrollment ID: O20160822003018 |
| Entity Name | Teton Radiology Caldwell |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336920420 PECOS PAC ID: 2365892742 Enrollment ID: O20240320000965 |
| Mailing Address | Practice Location Address |
|---|---|
| Sam Jensen Wright, PA 2725 Channing Way, Idaho Falls, ID 83404-7510 Ph: Not Available | Sam Jensen Wright, PA 2725 Channing Way, Idaho Falls, ID 83404-7510 Ph: (208) 525-8448 |
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 |