Mitchell Garrett Brown, FNP | |
3101 E State St, Eagle, ID 83616-6232 | |
(208) 473-3100 | |
Not Available |
Full Name | Mitchell Garrett Brown |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 3101 E State St, Eagle, 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 |
---|---|---|---|
1407456668 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 248862 (Arizona) | Secondary |
363LF0000X | Nurse Practitioner - Family | 77052 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic-treasure Valley Llc | 4981878402 | 991 |
Entity Name | St Lukes Clinic-treasure Valley Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
---|---|
Mitchell Garrett Brown, FNP 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Mitchell Garrett Brown, FNP 3101 E State St, Eagle, ID 83616-6232 Ph: (208) 473-3100 |
Evita Kvista, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 S Linder Rd Apt B301, Eagle, ID 83616 Phone: 208-412-9622 | |
Ms. Beth Elaine Landis, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1540 E Rivers End Ct, Eagle, ID 83616 Phone: 208-939-6030 | |
Bethany Joy Mello, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 951 E Plaza Dr Ste 170, Eagle, ID 83616 Phone: 208-939-3505 | |
Christopher Alan Anthony Nicholas, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3101 E State St, Eagle, ID 83616 Phone: 208-473-3100 | |
Jessica Watson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 S Linder Rd Apt O107, Eagle, ID 83616 Phone: 208-519-8520 | |
Claudia Parcells, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 951 E Plaza Dr, Suite 170, Eagle, ID 83616 Phone: 208-939-3505 Fax: 208-939-3507 | |
Allison Roper Serr, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1079 S Ancona Ave Ste 100, Eagle, ID 83616 Phone: 208-853-2273 |