Reagan E Fernley, PTA is a
Physical Medicine & Rehabilitation - Sports Medicine physician based in Homedale, Idaho. Reagan E Fernley is licensed to practice in Idaho (license number 8554) and her current practice location is 134 E Idaho Ave, Homedale, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 337-3254.
NPI number for Reagan E Fernley is 1881459543 and her current mailing address is 1217 S Benewah St, Nampa, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881459543.
Physician's Profile
Full Name | Reagan E Fernley |
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Gender | Female |
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Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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Location | 134 E Idaho Ave, Homedale, Idaho |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881459543
- Provider Enumeration Date: 02/20/2024
- Last Update Date: 02/20/2024
Medical Identifiers
Medical identifiers for Reagan E Fernley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881459543 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 8554 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Reagan E Fernley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Reagan E Fernley, PTA 1217 S Benewah St, Nampa, ID 83686-2868 Ph: (651) 788-0664 | Reagan E Fernley, PTA 134 E Idaho Ave, Homedale, ID 83628-5003 Ph: (208) 337-3254 |
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