Jennifer L Petrie (NPI# 1891879094, PAC ID# 3072583582) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1891879094 |
| PAC ID by PECOS | 3072583582 |
| Professional Enrollment ID | I20050215000756 |
| Full Name | Jennifer L Petrie |
| Organization Legal Name | PETRIE WHITE FAMILY MEDICINE OF IDAHO |
| Address |
2001 E Quail Run Rd Emmett ID 83617-5059 |
| Phone Number | 2083657131 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1355643271 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| 131318 | VALOR HEALTH |
| 130007 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| 130013 | SAINT ALPHONSUS MEDICAL CENTER - NAMPA |
| Address | Phone | Organization |
|---|---|---|
| 2001 E Quail Run Rd, Emmett, ID 83617-5059 | 2083657131 | PETRIE WHITE FAMILY MEDICINE OF IDAHO |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | PETRIE WHITE FAMILY MEDICINE OF IDAHO |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Isabella M Satterthwait | Physician Assistant | Petrie White Family Medicine of Idaho | 2001 E Quail Run Rd, Emmett, ID 83617-5059 |
| Street Address |
2001 E QUAIL RUN RD |
| City | EMMETT |
| State | ID |
| Zip | 83617-5059 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Isabella M Satterthwait | Physician Assistant | Petrie White Family Medicine of Idaho | 2001 E Quail Run Rd, Emmett, ID 83617-5059 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cherish L Smith | Physician Assistant | Walter Knox Memorial Hospital | 1102 E Locust St, Emmett, ID 83617-2713 |
| Desiree D Reid | Physician Assistant | Walter Knox Memorial Hospital | 1102 E Locust St, Emmett, ID 83617-2713 |
| Roy A Sternes | Physician Assistant | Walter Knox Memorial Hospital | 1102 E Locust St, Emmett, ID 83617-2713 |
| Cory A Ondler | Emergency Medicine | Walter Knox Memorial Hospital | 1102 E Locust St, Emmett, ID 83617-2713 |
| Elmer G Dodge Jr. | Nurse Practitioner | Walter Knox Memorial Hospital | 1102 E Locust St, Emmett, ID 83617-2713 |
| Robin D Sebastian | Family Medicine | Walter Knox Memorial Hospital | 1102 E Locust St, Emmett, ID 83617-2713 |
| David M Shuey Ii | Physician Assistant | Walter Knox Memorial Hospital | 1102 E Locust St, Emmett, ID 83617-2713 |
| James Thomson | Family Medicine | Walter Knox Memorial Hospital | 1102 E Locust St, Emmett, ID 83617-2713 |
| Lisa C Isaksen | Nurse Practitioner | Walter Knox Memorial Hospital | 1102 E Locust St, Emmett, ID 83617-2713 |
| William H Vetter | Family Medicine | Walter Knox Memorial Hospital | 1102 E Locust St, Emmett, ID 83617-2713 |
| Find all physicians in zip 83617 | |||
| City | EMMETT |
| Zip Code | 83617 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | EMMETT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jennifer L Petrie.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.