Dr. Jacob Adam Mong is a Boise, Idaho based male Ophthalmologist with 13 years of experience in Ophthalmology. He completed his graduation from Michigan State University College Of Osteopathic Medicine in 2011. He is also affiliated with hospitals like West Valley Medical Center. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Jacob Adam Mong is O-0860 for Ophthalmology in Idaho. Dr. Jacob Adam Mong is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Dr. Jacob Adam Mong speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Ophthalmology
Credentials:
D.O.
Experience:
13+ years
Medical School Attended:
Michigan State University College Of Osteopathic Medicine
Graduation Year:
2011
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
5680 W Gage St, Boise, Idaho, 83706-1326
Phone:
208-377-3937
Fax:
208-377-9455
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3072824762
Enrollment ID:
I20150622002594
NPI Number:
1346535481
NPI Enumeration Date:
16 Jun, 2011
NPI Last Update On:
08 May, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jacob Adam Mong are as mentioned below.
License Number
Specialization
State
Status
O-0860
Ophthalmology
Idaho
Primary
1346535481
Ophthalmology
Michigan
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
West Valley Medical Center (130014)
Caldwell, ID
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Jacob Adam Mong has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Maple Grove Eyecare Pc (6608101282)
3
Vision Quest Medical Center Pa (0547528598)
7
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jacob Adam Mong such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1346535481
Medicaid
Idaho
20006959
Other
Idaho
MEDICARE PTAN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5680 W Gage St, Boise, Idaho
Zip:
83706-1326
Phone Number:
208-377-3937
Fax Number:
208-377-9455
Patients can reach Dr. Jacob Adam Mong at 5680 W Gage St, Boise, Idaho or can call to book an appointment on 208-377-3937. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.