Dr Jon Parker Wagnild, MD - Internal Medicine in Boise, ID

Dr Jon Parker Wagnild, MD is a Internal Medicine - Nephrology physician based in Boise, Idaho. Dr Jon Parker Wagnild is licensed to practice in Idaho (license number M4213) and his current practice location is 5610 Gage St, Suite A, Boise, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 367-3370.

NPI number for Dr Jon Parker Wagnild is 1164459541 and his current mailing address is 984 W Bogus View Ct, Eagle, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164459541.

Contact Information

Dr Jon Parker Wagnild, MD
5610 Gage St, Suite A,
Boise, ID 83706-1349
(208) 367-3370
Not Available



Physician's Profile

Full NameDr Jon Parker Wagnild
GenderMale
SpecialityInternal Medicine - Nephrology
Location5610 Gage St, Boise, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164459541
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Jon Parker Wagnild such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164459541NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology M4213 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jon Parker Wagnild is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jon Parker Wagnild, MD
984 W Bogus View Ct,
Eagle, ID 83616-5878

Ph: () -
Dr Jon Parker Wagnild, MD
5610 Gage St, Suite A,
Boise, ID 83706-1349

Ph: (208) 367-3370

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Internal Medicine Doctors in Boise, ID

Dr. Jennifer A Hofstra, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1055 N Curtis Road, Boise, ID 83706
Phone: 757-446-8920    Fax: 757-446-5242
Dr. James Robert Polk, MD
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-3104    
Dr. Michael Frederic Krug, M.D.
Nephrology
Medicare: Medicare Enrolled
Practice Location: 500 W. Fort St, # 111, Boise, ID 83702
Phone: 208-422-1000    Fax: 208-422-1319
Derrel V Walker, M.D.
Nephrology
Medicare: Medicare Enrolled
Practice Location: 1055 N Curtis Road, Boise, ID 83706
Phone: 208-367-7350    Fax: 208-367-3951
Dr. Janat E. O'donnell, MD
Nephrology
Medicare: Medicare Enrolled
Practice Location: 500 W. Fort St., # 111, Boise, ID 83702
Phone: 208-422-1325    Fax: 208-422-1319
Carl L Durning, MD
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 6094 W Emerald St, Boise, ID 83704
Phone: 208-367-6575    Fax: 208-367-6597
Dr. Christopher J Goulet, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 6259 W Emerald St, Boise, ID 83704
Phone: 208-489-1900    Fax: 208-375-5286

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