Glenn E Jefferson Jr, MD - Family Medicine in Lewiston, ID

Glenn E Jefferson Jr, MD is a Family Medicine physician based in Lewiston, Idaho. Glenn E Jefferson Jr is licensed to practice in Idaho (license number M4593) and his current practice location is 2315 8th St, Lewiston, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 746-1383.

NPI number for Glenn E Jefferson Jr is 1326121286 and his current mailing address is 2315 8th St, Lewiston, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326121286.

Contact Information

Glenn E Jefferson Jr, MD
2315 8th St,
Lewiston, ID 83501-7301
(208) 746-1383
(208) 746-6348



Physician's Profile

Full NameGlenn E Jefferson Jr
GenderMale
SpecialityFamily Medicine
Location2315 8th St, Lewiston, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1326121286
  • Provider Enumeration Date: 10/23/2006
  • Last Update Date: 03/08/2016

Medical Identifiers

Medical identifiers for Glenn E Jefferson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326121286NPI-NPPES
31254OtherWALABOR & INDUSTRIES
1326121286OtherIDHEALTHY CONNECTIONS
1326121286OtherIDREGENCE BLUESHIELD OF IDAHO
1007806MedicaidWA
1326121286MedicaidID
80094289OtherIDRAILROAD MEDICARE
DF540OtherIDBLUE CROSS
1119637OtherIDDMERC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine M4593 (Idaho)Primary
207Q00000XFamily Medicine MD00025241 (Washington)Secondary

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. Glenn E Jefferson Jr 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
Glenn E Jefferson Jr, MD
2315 8th St,
Lewiston, ID 83501-7301

Ph: (208) 746-1383
Glenn E Jefferson Jr, MD
2315 8th St,
Lewiston, ID 83501-7301

Ph: (208) 746-1383

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› Verified 4 days ago


Family Medicine Doctors in Lewiston, ID

Dr. Christina R Bjornstad, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 625 6th Ave, Lewiston, ID 83501
Phone: 208-743-8226    Fax: 208-746-2069
Larry Dean Harries, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 307 St Johns Way, Ste 4, Lewiston, ID 83501
Phone: 208-743-8585    Fax: 208-743-0118
Dr. Christine C Schaller, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2315 8th St, Lewiston, ID 83501
Phone: 208-983-5120    Fax: 208-983-5404
Dr. Donald J Greggain, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 222 Southway Ave Ste 2a, Lewiston, ID 83501
Phone: 208-750-3840    Fax: 208-750-3839
Cheryl A Mallory, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2315 8th St, Lewiston, ID 83501
Phone: 208-746-1383    Fax: 208-746-6348
Celso R Chavez, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1522 17th St, Lewiston, ID 83501
Phone: 208-743-8416    Fax: 208-743-4642

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