| Jonathan Barrus Do Pc | |
|
2020 S Johns Ave Ste B Emmett ID 83617-9410 | |
| (208) 369-4340 | |
| Not Available |
| Full Name | Jonathan Barrus Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2020 S Johns Ave Ste B, Emmett, Idaho |
| Authorized Official Name and Position | Jonathan Bret Barrus (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2083694340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Barrus Do Pc 2020 S Johns Ave Ste B Emmett ID 83617-9410 Ph: (208) 369-4340 | Jonathan Barrus Do Pc 2020 S Johns Ave Ste B Emmett ID 83617-9410 Ph: (208) 369-4340 |
| NPI Number | 1699375659 |
|---|---|
| Provider Enumeration Date | 10/29/2020 |
| Last Update Date | 01/25/2024 |
| Medicare PECOS PAC ID | 8729489620 |
|---|---|
| Medicare Enrollment ID | O20210630000052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699375659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Brett T Mumford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164463113 PECOS PAC ID: 4880592112 Enrollment ID: I20031223000750 |
| Provider Name | Jonathan Barrus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346654589 PECOS PAC ID: 8628295839 Enrollment ID: I20160906002281 |
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