John-minh Nguyen, DO | |
9850 W St Lukes Dr, Nampa, ID 83687-7912 | |
(208) 706-6375 | |
(208) 706-6395 |
Full Name | John-minh Nguyen |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 9850 W St Lukes Dr, Nampa, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013322783 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | O-1139 (Idaho) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 5101021384 (Michigan) | Secondary |
Entity Name | Pocatello Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689802852 PECOS PAC ID: 6608927637 Enrollment ID: O20090701000646 |
Entity Name | St Lukes Clinic-treasure Valley Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
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John-minh Nguyen, DO 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | John-minh Nguyen, DO 9850 W St Lukes Dr, Nampa, ID 83687-7912 Ph: (208) 706-6375 |
Ladonna Wiedenman, BS Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 915 Parkcentre Way Ste 7, Nampa, ID 83651 Phone: 208-442-7791 Fax: 208-442-7792 | |
Dr. Michael R. Djernes, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 215 E Hawaii Ave, Nampa, ID 83686 Phone: 208-463-3197 Fax: 208-463-3044 | |
Lawrence E Green, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 16060 Idaho Center Blvd, Nampa, ID 83687 Phone: 208-467-3368 Fax: 208-467-3360 | |
Dr. Bill Taylor Terry, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 408 22nd Ave S, Nampa, ID 83651 Phone: 208-866-5365 Fax: 208-939-8801 | |
Jennie Quaine, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 9850 W St Lukes Dr, Nampa, ID 83687 Phone: 208-381-5970 | |
Michael J Applebaum, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 924 12th Ave Rd, Nampa, ID 83686 Phone: 208-466-2188 Fax: 208-466-2189 |