Amber Jane Van Sickle-birch, PMHNP | |
1500 Pancheri Dr Ste 4, Idaho Falls, ID 83402-3212 | |
(208) 579-6087 | |
(888) 519-8898 |
Full Name | Amber Jane Van Sickle-birch |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1500 Pancheri Dr Ste 4, Idaho Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831716604 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0809X | Registered Nurse - Psychiatric/mental Health, Adult | 43554 (Idaho) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 70572 (Idaho) | Primary |
Entity Name | High Tide Psychiatry Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023762119 PECOS PAC ID: 8527444835 Enrollment ID: O20221010001515 |
Mailing Address | Practice Location Address |
---|---|
Amber Jane Van Sickle-birch, PMHNP 1500 Pancheri Dr Ste 4, Idaho Falls, ID 83402-3212 Ph: (208) 579-6087 | Amber Jane Van Sickle-birch, PMHNP 1500 Pancheri Dr Ste 4, Idaho Falls, ID 83402-3212 Ph: (208) 579-6087 |
Mr. Morgan Tius Garriott, MSN, APRN, CNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2325 Coronado St, Idaho Falls, ID 83404 Phone: 208-542-7021 Fax: 208-542-7371 | |
Mrs. Molly Susan Phillipp, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2065 E 17th St, Suite D, Idaho Falls, ID 83404 Phone: 208-522-0747 Fax: 208-522-9641 | |
Sandy Palma, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2155 Rendezvous Rd, Idaho Falls, ID 83402 Phone: 773-386-1861 | |
James D Brown, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3360 Washington Pkwy Ste 2, Idaho Falls, ID 83404 Phone: 208-932-7024 Fax: 208-904-4447 | |
Salina Thetford, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2001 S Woodruff Ave Ste 4, Idaho Falls, ID 83404 Phone: 208-419-3271 | |
Christopher Leif Edwards, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2330 Coronado St, Idaho Falls, ID 83404 Phone: 208-542-7060 | |
Mr. Nathan Eric Bradfield, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2280 E 25th St, Idaho Falls, ID 83404 Phone: 208-227-2100 Fax: 208-227-2362 |