Meridian Advanced Psychiatry , Llc - Medicare Mental Health Clinic in Meridan, ID

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Meridian Advanced Psychiatry , Llc is a medicare enrolled mental health clinic (Psychiatry & Neurology - Addiction Medicine) in Meridan, Idaho. The current practice location for Meridian Advanced Psychiatry , Llc is 1672 S Woodsage Ave., Meridan, Idaho. For appointments, you can reach them via phone at (208) 515-2273. The mailing address for Meridian Advanced Psychiatry , Llc is 1672 S Woodsage Avenue, Suite #120, Meridan, Idaho and phone number is (208) 515-2273.

Meridian Advanced Psychiatry , Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1609412683. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (208) 515-2273.

Contact Information

Meridian Advanced Psychiatry , Llc
1672 S Woodsage Ave.
Meridan
ID 83642
(208) 515-2273
(208) 515-2274

Map and Direction


Mental Health Clinic Profile

Full NameMeridian Advanced Psychiatry , Llc
SpecialityPsychiatry & Neurology
Location1672 S Woodsage Ave., Meridan, Idaho
Authorized Official Name and PositionKevin Hulsey (CEO)
Authorized Official Contact2087890202
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Meridian Advanced Psychiatry , Llc
1672 S Woodsage Avenue
Suite #120
Meridan
ID 83642

Ph: (208) 515-2273		Meridian Advanced Psychiatry , Llc
1672 S Woodsage Ave.
Meridan
ID 83642

Ph: (208) 515-2273

NPI Details:

NPI Number1609412683
Provider Enumeration Date11/25/2019
Last Update Date05/12/2020
Certification Date05/12/2020

Medicare PECOS Information:

Medicare PECOS PAC ID8628490711
Medicare Enrollment IDO20200618000604

Medical Identifiers

Medical identifiers for Meridian Advanced Psychiatry , Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609412683NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084A0401XPsychiatry & Neurology - Addiction Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Meridian Advanced Psychiatry , Llc acts as a billing entity for following providers:
Provider NameBrian L Raymond
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043468903
PECOS PAC ID: 3274689690
Enrollment ID: I20090925000252
Provider NameEsther S Huffine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326477258
PECOS PAC ID: 9234362096
Enrollment ID: I20140430002592
Provider NameKyle Joseph Ronnau
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326584640
PECOS PAC ID: 9133492986
Enrollment ID: I20170830002027
Provider NameBrandy D Fitchett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902315021
PECOS PAC ID: 0042578569
Enrollment ID: I20171211001054
Provider NameKirk Emil Paolinelli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235637240
PECOS PAC ID: 6204197098
Enrollment ID: I20190329001072
Provider NameShannon C Jares
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831755271
PECOS PAC ID: 1254668817
Enrollment ID: I20190806001988
Provider NameBecky J Bole
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043621576
PECOS PAC ID: 5294951687
Enrollment ID: I20191121002661
Provider NameAdam Burch
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1205213246
PECOS PAC ID: 1355637323
Enrollment ID: I20200707001694
Provider NameJarrod Vaughn Crump
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184240194
PECOS PAC ID: 7911323894
Enrollment ID: I20200824000539
Provider NameTyson J Flower
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184258311
PECOS PAC ID: 3173940319
Enrollment ID: I20200826002658
Provider NameSuzanne Rene Albert
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1003448713
PECOS PAC ID: 7416377627
Enrollment ID: I20201008002422
Provider NameMatthew A Fowler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053943688
PECOS PAC ID: 8224442348
Enrollment ID: I20210202000948
Provider NameTonya J Jenott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467072660
PECOS PAC ID: 7214344951
Enrollment ID: I20210325001343
Provider NameStephanie Frances Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659962611
PECOS PAC ID: 1557763570
Enrollment ID: I20210714001093
Provider NameSamantha D Blackburn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811534613
PECOS PAC ID: 9234536855
Enrollment ID: I20210924001101
Provider NameLenard L Malmin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255908489
PECOS PAC ID: 2365849882
Enrollment ID: I20210927002405
Provider NameMary Hannah Rankin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154072205
PECOS PAC ID: 0941695969
Enrollment ID: I20220309002415
Provider NameMckenzie Morcom
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417601840
PECOS PAC ID: 4789079617
Enrollment ID: I20220311001093
Provider NameAndy Victor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316613458
PECOS PAC ID: 3274911854
Enrollment ID: I20220610000534
Provider NameMegan Lee Brock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083357651
PECOS PAC ID: 7517343155
Enrollment ID: I20221004003723
Provider NameShelly Ann Abell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528791969
PECOS PAC ID: 7911373980
Enrollment ID: I20221017000153
Provider NameKyanne Lamay Wright
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649991316
PECOS PAC ID: 9739557729
Enrollment ID: I20221123000139
Provider NameKjeranne Rummel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376209460
PECOS PAC ID: 1355711490
Enrollment ID: I20230105001412
Provider NameSamantha Wynn Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164141107
PECOS PAC ID: 1759752165
Enrollment ID: I20230123001960
Provider NameAllison Zartman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598473464
PECOS PAC ID: 5991176265
Enrollment ID: I20230124002252
Provider NameJon Patxi Criswell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881301075
PECOS PAC ID: 3173995677
Enrollment ID: I20230209002041
Provider NameShaina Leeann Lonai
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154033637
PECOS PAC ID: 7214301035
Enrollment ID: I20230317002073
Provider NameCheryl Kathryn Burris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225669534
PECOS PAC ID: 5597120824
Enrollment ID: I20230420001496
Provider NameTony Bastar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992490254
PECOS PAC ID: 7012379324
Enrollment ID: I20230818001241
Provider NameBradley Thomas Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114536737
PECOS PAC ID: 0143683136
Enrollment ID: I20230823003175
Provider NameElizabeth Ann Nugent
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972386092
PECOS PAC ID: 2961859160
Enrollment ID: I20231109001912
Provider NameCarmen Marie Stephens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639952476
PECOS PAC ID: 2860842341
Enrollment ID: I20231226000122
Provider NameRebekah M Svadlenka
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063003895
PECOS PAC ID: 9638584717
Enrollment ID: I20240119003445
Provider NameJeremiah Robins Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356123657
PECOS PAC ID: 0446695118
Enrollment ID: I20240304003420
Provider NameBarbara Mcgee Strauss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538925854
PECOS PAC ID: 4789025438
Enrollment ID: I20240512000040

Reviews and Comments

Psychiatry & Neurology in Meridan, ID


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