Jordan Marie Mitchell, NP-C | |
529 Broadway Ave S, Buhl, ID 83316-1312 | |
(208) 814-8000 | |
Not Available |
Full Name | Jordan Marie Mitchell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 529 Broadway Ave S, Buhl, 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 |
---|---|---|---|
1609320126 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 53951 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Heritage Hospice | Pocatello, ID | Hospice |
Hospice Visions | Twin falls, ID | Hospice |
St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
St Luke's Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic Llc | 1052217478 | 274 |
Entity Name | St Lukes Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
Entity Name | Molina Care Connections Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20180517000247 |
Mailing Address | Practice Location Address |
---|---|
Jordan Marie Mitchell, NP-C 529 Broadway Ave S, Buhl, ID 83316-1312 Ph: (208) 814-8000 | Jordan Marie Mitchell, NP-C 529 Broadway Ave S, Buhl, ID 83316-1312 Ph: (208) 814-8000 |
Ellouise Gebauer-atkins, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1650 E 3800 N, Buhl, ID 83316 Phone: 208-543-4233 | |
Michelle Amber Kruse, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 980 Burley Ave, Buhl, ID 83316 Phone: 208-814-9150 Fax: 208-814-9151 |