Carol A Wade, RN,CS,FNP | |
21 E Maple St, Suite A, Hailey, ID 83333-4900 | |
(208) 788-3200 | |
(208) 788-3386 |
Full Name | Carol A Wade |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 37 Years |
Location | 21 E Maple St, Hailey, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427085596 | NPI | - | NPPES |
P01032142 | Other | ID | MCRR |
805065200 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | NP185A (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Wood River Medical Center | Ketchum, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic - Wood River Llc | 3173783818 | 54 |
Entity Name | St Lukes Clinic - Wood River Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972891604 PECOS PAC ID: 3173783818 Enrollment ID: O20120404000474 |
Mailing Address | Practice Location Address |
---|---|
Carol A Wade, RN,CS,FNP 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 814-7400 | Carol A Wade, RN,CS,FNP 21 E Maple St, Suite A, Hailey, ID 83333-4900 Ph: (208) 788-3200 |
Amanda J Allaire, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1450 Aviation Dr, Hailey, ID 83333 Phone: 208-727-8899 | |
Ms. Ann Enderle, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1450 Aviation Dr Ste 100, Hailey, ID 83333 Phone: 208-788-3434 | |
Debbie M Garratt, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 706 S Main St, Hailey, ID 83333 Phone: 208-788-3434 Fax: 208-788-2025 |