Erik Kelly, NP-C | |
265 W Prairie Shopping Ctr, Hayden, ID 83835-9855 | |
(208) 772-7850 | |
Not Available |
Full Name | Erik Kelly |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 265 W Prairie Shopping Ctr, Hayden, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396195269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NP-1657A (Idaho) | Primary |
Entity Name | Family Medical Care Clinics Corporation A Professional Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942730775 PECOS PAC ID: 5890066591 Enrollment ID: O20171127003248 |
Mailing Address | Practice Location Address |
---|---|
Erik Kelly, NP-C Po Box 38, Hayden, ID 83835-0038 Ph: () - | Erik Kelly, NP-C 265 W Prairie Shopping Ctr, Hayden, ID 83835-9855 Ph: (208) 772-7850 |
Mrs. Betsy Dale Poot Poot, ARNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1286 W Leisure Dr, Hayden, ID 83835 Phone: 360-421-2520 | |
Susan Cross, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Hospice Of North Idaho, 9493 N Government Way, Hayden, ID 83835 Phone: 208-772-7994 | |
Dorothy Teresa Mccree, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8836 N Hess St Ste C, Hayden, ID 83835 Phone: 208-762-7760 Fax: 208-762-7740 | |
Mr. Jacob C Reedy, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1986 W. Hayden Ave, Hayden, ID 83835 Phone: 208-762-7760 Fax: 208-762-7740 | |
Mrs. Sheena Satoko Young, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1986 W Hayden Ave, Hayden, ID 83835 Phone: 208-762-7760 Fax: 208-762-7740 | |
Nikole Arrotta Tabaracci, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8382 N Wayne Dr Ste 204, Hayden, ID 83835 Phone: 208-635-5265 | |
Cindy Barnes, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8500 N Atlas Rd, Hayden, ID 83835 Phone: 208-415-5270 Fax: 208-415-5101 |