Leathie Bickmore, APRN CNP | |
495 Yellowstone Ave, Pocatello, ID 83201-4531 | |
(208) 425-1620 | |
(208) 232-5445 |
Full Name | Leathie Bickmore |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 495 Yellowstone Ave, Pocatello, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609640333 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 61350 (Idaho) | Primary |
Entity Name | Mountain View Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
Entity Name | Community Care West Side Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295009785 PECOS PAC ID: 3678738218 Enrollment ID: O20120703000554 |
Entity Name | Cc Pocatello Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538517156 PECOS PAC ID: 8527353176 Enrollment ID: O20160822003018 |
Entity Name | Mvh Pic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972035772 PECOS PAC ID: 6709156904 Enrollment ID: O20170720002408 |
Mailing Address | Practice Location Address |
---|---|
Leathie Bickmore, APRN CNP 495 Yellowstone Ave, Pocatello, ID 83201-4531 Ph: (208) 425-1620 | Leathie Bickmore, APRN CNP 495 Yellowstone Ave, Pocatello, ID 83201-4531 Ph: (208) 425-1620 |
Jason Montgomery, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-2580 Fax: 208-239-2580 | |
Kealee Arehart, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 444 Hospital Way Ste 777, Pocatello, ID 83201 Phone: 208-239-1650 | |
Travis Newsom, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1750 | |
Dr. Christina Michelle Powers, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 777 Hospital Way Ste 101, Pocatello, ID 83201 Phone: 208-239-3899 Fax: 208-232-2195 | |
Ms. Amie Beth Kenyen, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 444 Hospital Way Ste 607, Pocatello, ID 83201 Phone: 208-589-3844 | |
Chelsey Aslett, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 | |
Mrs. Codie M Robertson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Vista Dr, Pocatello, ID 83201 Phone: 208-234-2300 |