Gina Kay Manhart, | |
202 S 4th St W, Baker, MT 59313-9156 | |
(406) 778-2833 | |
(406) 778-5355 |
Full Name | Gina Kay Manhart |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 202 S 4th St W, Baker, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073231023 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 4792138900 (Utah) | Secondary |
363LF0000X | Nurse Practitioner - Family | NUR-APRN-LIC-195947 (Montana) | Primary |
Entity Name | Fallon Medical Complex Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386700763 PECOS PAC ID: 0941119499 Enrollment ID: O20040614000391 |
Entity Name | Fallon Medical Complex Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1316965346 PECOS PAC ID: 0941119499 Enrollment ID: O20061104000600 |
Mailing Address | Practice Location Address |
---|---|
Gina Kay Manhart, 202 S 4th St W, Baker, MT 59313-9156 Ph: (406) 778-2833 | Gina Kay Manhart, 202 S 4th St W, Baker, MT 59313-9156 Ph: (406) 778-2833 |
Mrs. Carrie Jo Haar, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 S 4th St W, Baker, MT 59313 Phone: 406-778-2833 Fax: 406-778-5355 | |
Mrs. Erika Beck, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 204 Sw 1st St, Baker, MT 59313 Phone: 406-778-1047 |