John Dustin Pena, FNP | |
403 Riverfront Dr, Salmon, ID 83467-5162 | |
(208) 742-1110 | |
(208) 742-1120 |
Full Name | John Dustin Pena |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 403 Riverfront Dr, Salmon, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730787482 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 65855 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Steele Memorial Medical Center | Salmon, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Salmon River Clinic | 4587941620 | 3 |
Entity Name | Salmon River Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104351972 PECOS PAC ID: 4587941620 Enrollment ID: O20170427001778 |
Mailing Address | Practice Location Address |
---|---|
John Dustin Pena, FNP 403 Riverfront Dr, Salmon, ID 83467-5162 Ph: (208) 742-1110 | John Dustin Pena, FNP 403 Riverfront Dr, Salmon, ID 83467-5162 Ph: (208) 742-1110 |
Ms. Janet Merrell, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1911 Main St, Salmon, ID 83467 Phone: 208-756-2211 Fax: 208-756-8700 | |
Suzanne Nebeker, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 805 Main St, Salmon, ID 83467 Phone: 208-756-6212 Fax: 208-756-6336 | |
Mrs. Monica Lena White, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 404 Courthouse Dr, Salmon, ID 83467 Phone: 208-993-3479 | |
Myllissa M. Wyatt, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403 Riverfront Dr, Salmon, ID 83467 Phone: 208-742-1110 Fax: 208-742-1120 |