Raven Ebanez, APRN-CNP | |
44 N 1st E, Preston, ID 83263-1326 | |
(208) 852-2900 | |
(208) 852-3511 |
Full Name | Raven Ebanez |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 44 N 1st E, Preston, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265290837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 59770 (Idaho) | Primary |
Entity Name | Franklin County Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548355811 PECOS PAC ID: 8820909104 Enrollment ID: O20070917000547 |
Mailing Address | Practice Location Address |
---|---|
Raven Ebanez, APRN-CNP 44 N 1st E, Preston, ID 83263-1326 Ph: (208) 852-4100 | Raven Ebanez, APRN-CNP 44 N 1st E, Preston, ID 83263-1326 Ph: (208) 852-2900 |
Daniel Yugi Patten, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 47 N. 1st E., Preston, ID 83263 Phone: 208-852-2900 Fax: 208-852-3511 | |
Dr. Rex Emerson Wortham, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8 S 1st W, Preston, ID 83263 Phone: 208-852-0852 Fax: 208-852-0568 | |
Dr. Gordon Scott Bontrager, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 43 N 1st E, Preston, ID 83263 Phone: 208-648-4771 Fax: 208-744-0140 | |
Dr. Stuart G Knapp, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 47 N 1st E, Preston, ID 83263 Phone: 208-852-2900 Fax: 208-852-3511 | |
Dr. David Bradley Beckstead, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 North 1 East, Preston, ID 83263 Phone: 208-852-3851 Fax: 208-852-3856 |