Jennifer Anne Farwell, D.O.
Individual provider Active NPI Obstetrics & Gynecology Physician · Coeur D Alene, ID
NPI 1275977399 · NPPES record last updated May 14, 2020
Key facts
- NPI
- 1275977399
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- O-1031 (ID)
- Practice address
- 980 W Ironwood Dr Ste 201
Coeur D Alene, ID 83814-2668 - Phone
- (208) 765-4888
- Fax
- (208) 667-8618
- NPI assigned
- Apr 19, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coeur Obstetrics and Gynecology PLLC
Practice addresses (Care Compare)
980 W Ironwood Dr
Suite 201
Coeur D Alene, ID 83814-2668
Phone (208) 765-4888
Hospital & facility affiliations
- Kootenai Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171026000178 | ID | Practitioner - Obstetrics/Gynecology | 1153697719 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coeur Obstetrics and Gynecology, PLLC | Current |
Accepting new patients | |
| Baylor College of Medicine | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
980 W Ironwood Dr
Ste 201
Coeur D Alene, ID 83814
Phone (208) 292-1315
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72467
- jennifer.farwell@coeurobgyn.directbygreenway.com
- jfarwell624167@direct.multicare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | O-1031 | ID | Yes |
Addresses
Primary practice location
980 W Ironwood Dr Ste 201
Coeur D Alene, ID 83814-2668
Mailing address
980 W Ironwood Dr Ste 201
Coeur D Alene, ID 83814-2668
Phone (208) 765-4888
Other practice location 1
1 Baylor Plz # Bcm610
Houston, TX 77030-3411
Phone (832) 826-7372
Other providers in Coeur D Alene, ID
- Family Support Services of North Idaho
- Jena Farid
- Megan Farley
- Kristina Farmin
- Robert C. Farr
- Casey John Fatz
- Kathryn C Faulkner
- Marie Faver
- Mariann Federspiel
- Rachel B Fehling
All providers in Coeur D Alene, ID · Obstetrics & Gynecology Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.