Bradley Martin, PMHNP | |
358 Cheney Dr W Ste 101a, Twin Falls, ID 83301-6484 | |
(208) 515-2273 | |
(208) 515-2274 |
Full Name | Bradley Martin |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 358 Cheney Dr W Ste 101a, Twin 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 |
---|---|---|---|
1114536737 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 76908 (Idaho) | Primary |
Entity Name | Meridian Advanced Psychiatry , Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609412683 PECOS PAC ID: 8628490711 Enrollment ID: O20200618000604 |
Mailing Address | Practice Location Address |
---|---|
Bradley Martin, PMHNP 358 Cheney Dr W Ste 101a, Twin Falls, ID 83301-6484 Ph: (208) 515-2273 | Bradley Martin, PMHNP 358 Cheney Dr W Ste 101a, Twin Falls, ID 83301-6484 Ph: (208) 515-2273 |
Madison Christine Campbell, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 815 N College Rd, Twin Falls, ID 83301 Phone: 208-814-9100 Fax: 208-814-9903 | |
Janice Carter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2086 Addison Ave E, Twin Falls, ID 83301 Phone: 208-733-9697 Fax: 208-733-3197 | |
Lesley D. Goulding, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 302, Twin Falls, ID 83301 Phone: 208-814-8740 Fax: 208-814-8955 | |
Mrs. Amanda Jo Prestigiacomo, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 N Haven Dr, Twin Falls, ID 83301 Phone: 208-904-4780 Fax: 208-904-4832 | |
Mrs. Raemi Dawn Nolevanko, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000 | |
Reatta Omoth, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2550 Addison Ave E Ste E, Twin Falls, ID 83301 Phone: 208-814-7780 Fax: 208-814-7746 | |
Corinne Bartschi, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1502 Locust St N Ste 700, Twin Falls, ID 83301 Phone: 208-595-5095 |