Genevieve Marie Leetham, APRN | |
2280 American Legion Blvd, Mountain Home, ID 83647-3142 | |
(208) 587-3988 | |
(208) 587-3324 |
Full Name | Genevieve Marie Leetham |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 2280 American Legion Blvd, Mountain Home, 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 |
---|---|---|---|
1669027793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 5905632-4405 (Utah) | Secondary |
363LF0000X | Nurse Practitioner - Family | NP-67308 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Glenns Ferry Health Center Inc | 5496656894 | 13 |
Entity Name | Glenns Ferry Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376673137 PECOS PAC ID: 5496656894 Enrollment ID: O20040119000307 |
Mailing Address | Practice Location Address |
---|---|
Genevieve Marie Leetham, APRN 2280 American Legion Blvd, Mountain Home, ID 83647-3142 Ph: (208) 587-3988 | Genevieve Marie Leetham, APRN 2280 American Legion Blvd, Mountain Home, ID 83647-3142 Ph: (208) 587-3988 |
Dawn D Best, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Desert Sage Way, Mountain Home, ID 83647 Phone: 208-587-3988 Fax: 208-587-3324 | |
Vernon T Mullins, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 840 N 4th E, Mountain Home, ID 83647 Phone: 208-587-1850 | |
Robin Amber Nettleton, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 840 N 4th E, Mountain Home, ID 83647 Phone: 208-587-1850 Fax: 208-587-1851 | |
Brandi Ann Bartholomew, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 840 N 4th E, Mountain Home, ID 83647 Phone: 208-587-1850 | |
Linda G Shaw, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 805 N 6th E, Mountain Home, ID 83647 Phone: 208-587-5880 Fax: 208-587-7905 |