Jennifer Sanderson, NP | |
190 W Burnside, Ste C, Chubbuck, ID 83202-2411 | |
(208) 417-8842 | |
(833) 728-0327 |
Full Name | Jennifer Sanderson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 190 W Burnside, Chubbuck, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730582271 | NPI | - | NPPES |
1679183388 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NP1511A (Idaho) | Primary |
Entity Name | Kathryn Roth |
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Entity Type | Practitioner - Nurse Practitioner |
Entity Identifiers | NPI Number: 1467893289 PECOS PAC ID: 0446572788 Enrollment ID: I20141124000574 |
Entity Name | Health Innovations |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679183388 PECOS PAC ID: 1951720341 Enrollment ID: O20201005001310 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Sanderson, NP 190 W Burnside, Ste C, Chubbuck, ID 83202-2411 Ph: (208) 417-8842 | Jennifer Sanderson, NP 190 W Burnside, Ste C, Chubbuck, ID 83202-2411 Ph: (208) 417-8842 |
Justin Gregory Merzlock, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4511 Zebe Ave, Chubbuck, ID 83202 Phone: 208-904-4780 Fax: 208-904-4832 | |
Dr. Scott Robert Barlow, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 476 E Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-233-9898 Fax: 208-232-8566 | |
Patricia Stadler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 570 Redman St, Chubbuck, ID 83202 Phone: 602-703-4196 | |
Heidi Winder, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 476 E Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-233-9898 Fax: 208-232-8566 | |
Dr. Matthew Mitchell Day, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4511 Zebe Ave, Chubbuck, ID 83202 Phone: 208-904-4832 | |
Brandon Smith, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5067 Camden St, Chubbuck, ID 83202 Phone: 208-840-0044 | |
Stevie Marie Miller, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5274 Kymball Dr, Chubbuck, ID 83202 Phone: 208-240-8137 |