Marquee Gale Ricks, FNP-C | |
556 Trejo St Ste B, Rexburg, ID 83440-2626 | |
(208) 881-0902 | |
Not Available |
Full Name | Marquee Gale Ricks |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 556 Trejo St Ste B, Rexburg, 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 |
---|---|---|---|
1902429392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 64789 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vista Healthcare Pc | 4587921788 | 4 |
Entity Name | Vista Healthcare Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720502370 PECOS PAC ID: 4587921788 Enrollment ID: O20171127000338 |
Mailing Address | Practice Location Address |
---|---|
Marquee Gale Ricks, FNP-C 556 Trejo St Ste B, Rexburg, ID 83440-2626 Ph: (208) 881-0902 | Marquee Gale Ricks, FNP-C 556 Trejo St Ste B, Rexburg, ID 83440-2626 Ph: (208) 881-0902 |
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