| Gem Family Medicine | |
|
2020 S Johns Ave Ste B Emmett ID 83617-9410 | |
| (208) 369-4340 | |
| Not Available |
| Full Name | Gem Family Medicine |
|---|---|
| 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 |
|---|---|
| Gem Family Medicine 2020 S Johns Ave Ste B Emmett ID 83617-9410 Ph: (208) 369-4340 | Gem Family Medicine 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 |
| Certification 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 | () | 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 |
| Provider Name | Andrea Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376992503 PECOS PAC ID: 6002102746 Enrollment ID: I20160907001312 |
| Provider Name | Monica L Vernon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386192102 PECOS PAC ID: 6608154653 Enrollment ID: I20161026002764 |
| Provider Name | Desiree D Reid |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427558154 PECOS PAC ID: 9436404498 Enrollment ID: I20180614001280 |
| Provider Name | Jacob a Michelsen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841803533 PECOS PAC ID: 8325453525 Enrollment ID: I20210222001317 |
Emmett Family Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2031 E Quail Run Rd, Emmett, ID 83617 Phone: 208-365-2525 Fax: 208-365-2234 |
Valor Health Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 N Wardwell Ave, Emmett, ID 83617 Phone: 208-365-6311 Fax: 208-365-1003 |
The Smith Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 N Wardwell Ave, Emmett, ID 83617 Phone: 208-365-6311 |
Gem Family Practice, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1108 S Washington Ave, Emmett, ID 83617 Phone: 208-365-3455 Fax: 208-365-3422 |
Valor Health Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 N Wardwell Ave, Emmett, ID 83617 Phone: 208-365-6311 |
Idaho Behavioral Health Emmett Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 S Johns Ave, Emmett, ID 83617 Phone: 208-343-2737 Fax: 208-342-3238 |