Lael Jo Reynolds, | |
2705 E 17th St, Ammon, ID 83406-6601 | |
(208) 346-7522 | |
Not Available |
Full Name | Lael Jo Reynolds |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 2705 E 17th St, Ammon, 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 |
---|---|---|---|
1689332769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP1700X | Registered Nurse - Perinatal | N-30935 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pearl Health Clinic | 0840356077 | 28 |
Entity Name | Pearl Health Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447426465 PECOS PAC ID: 0840356077 Enrollment ID: O20090312000617 |
Mailing Address | Practice Location Address |
---|---|
Lael Jo Reynolds, 158 S 2nd E, Rexburg, ID 83440-1909 Ph: (208) 206-0692 | Lael Jo Reynolds, 2705 E 17th St, Ammon, ID 83406-6601 Ph: (208) 346-7522 |
Melaynia Sapp, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3305 E Sunnyside Rd, Ammon, ID 83406 Phone: 262-470-6108 | |
Ms. Ruth Ellen King, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2800 Owen St, Ammon, ID 83406 Phone: 208-525-4429 | |
Laura Lee Scott, NP-C Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1547 Midway Ave Suite B, Ammon, ID 83406 Phone: 208-497-0429 Fax: 208-497-0430 | |
Robynn Howell, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1499 Curlew Dr, Ammon, ID 83406 Phone: 208-313-7600 |