Mr Todd Bates, PMHNP | |
10478 S. 1st E, Idaho Falls, ID 83404 | |
(208) 521-4613 | |
Not Available |
Full Name | Mr Todd Bates |
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Gender | Male |
Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
Location | 10478 S. 1st E, Idaho Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063008829 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 66494 (Idaho) | Primary |
Entity Name | Bmh Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255539193 PECOS PAC ID: 8426149758 Enrollment ID: O20071018000897 |
Mailing Address | Practice Location Address |
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Mr Todd Bates, PMHNP 10478 S. 1st E, Idaho Falls, ID 83404 Ph: (208) 521-4613 | Mr Todd Bates, PMHNP 10478 S. 1st E, Idaho Falls, ID 83404 Ph: (208) 521-4613 |
Randall James Law, PA-C Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 2001 S Woodruff Ave Ste 9, Idaho Falls, ID 83404 Phone: 208-419-3002 Fax: 208-656-5652 | |
Wende Christine Leavitt, PA-C Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 2001 S Woodruff Ave Ste 9, Idaho Falls, ID 83404 Phone: 208-419-3002 Fax: 208-656-5652 |