Mark Willis, FNP | |
1350 Cedar Lake Rd, Pocatello, ID 83204-4946 | |
(208) 705-2575 | |
(208) 203-1348 |
Full Name | Mark Willis |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 1350 Cedar Lake Rd, Pocatello, 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 |
---|---|---|---|
1154838886 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 57490 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Encompass Health Home Health Of Eastern Idaho | Idaho falls, ID | Home health agency |
Portneuf Medical Center | Pocatello, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Optimum Health Pllc | 1153656590 | 6 |
Entity Name | Rocky Mountain Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851808133 PECOS PAC ID: 7911267133 Enrollment ID: O20180208002103 |
Entity Name | Optimum Health Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306401575 PECOS PAC ID: 1153656590 Enrollment ID: O20190708002681 |
Entity Name | Spencer J Hardenbrook Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073909594 PECOS PAC ID: 2062733546 Enrollment ID: O20210218002618 |
Mailing Address | Practice Location Address |
---|---|
Mark Willis, FNP 1350 Cedar Lake Rd, Pocatello, ID 83204-4946 Ph: (208) 705-2575 | Mark Willis, FNP 1350 Cedar Lake Rd, Pocatello, ID 83204-4946 Ph: (208) 705-2575 |
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: Not Enrolled in Medicare 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 |