Dr Jeremy Robert Nicolarsen, MD | |
2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | |
(208) 625-4000 | |
Not Available |
Full Name | Dr Jeremy Robert Nicolarsen |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 17 Years |
Location | 2003 Kootenai Health Way, Coeur D Alene, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891946778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | M13579 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Prov Sacred Hrt Med Ctr & Childs Hosp. | Spokane, WA | Hospital |
St. Patrick Hospital | Missoula, MT | Hospital |
Providence Holy Family Hospital | Spokane, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Washington | 0345139929 | 694 |
Providence Health And Services Washington | 8729258256 | 47 |
Providence Health And Services Washington | 0345139929 | 694 |
Providence Health And Services Mt | 6608786306 | 285 |
Entity Name | Providence Health & Services Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453 |
Entity Name | Providence Health & Services Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881907715 PECOS PAC ID: 8729258256 Enrollment ID: O20110819000034 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeremy Robert Nicolarsen, MD 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 625-4000 | Dr Jeremy Robert Nicolarsen, MD 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 625-4000 |
Dr. Thomas R Rau, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814 Phone: 208-667-0585 Fax: 208-667-0876 | |
Terence Earl Neff, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814 Phone: 208-667-0585 Fax: 208-667-0876 | |
Dr. Brook Yuknis Lang, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-5185 Fax: 208-625-5892 | |
Dr. Mary Jo Shaw, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814 Phone: 208-667-0585 Fax: 208-667-0876 | |
Dr. Beth Ann Martin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1090 W Park Pl, Coeur D Alene, ID 83814 Phone: 208-215-2005 | |
Dr. Cheri Kathleen Savage, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814 Phone: 208-667-0585 Fax: 208-667-0876 | |
Christy L Riley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 980 W Ironwood Dr, Suite 302, Coeur D Alene, ID 83814 Phone: 208-292-5437 Fax: 208-292-5437 |