Mrs Beverley Ann Blake Odoherty, CFNP in Twin Falls, ID

Mrs Beverley Ann Blake Odoherty, CFNP is a medicare enrolled "Nurse Practitioner - Family" in Twin Falls, Idaho. She graduated from nursing school in 1996 and has 28 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pocatello Health Services Llc, South Sound Inpatient Physicians Pllc and her current practice location is 801 Pole Line Rd W, Twin Falls, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 814-4100.

Mrs Beverley Ann Blake Odoherty is licensed to practice in Idaho (license number NP925A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821166539.

Contact Information

	Mrs Beverley Ann Blake Odoherty, CFNP
	801 Pole Line Rd W, Twin Falls, ID 83301-5810
	(208) 814-4100
	(208) 814-4908

Map and Direction

Provider's Profile

Full Name	Mrs Beverley Ann Blake Odoherty
Gender	Female
Speciality	Nurse Practitioner
Experience	28 Years
Location	801 Pole Line Rd W, Twin Falls, 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.

Medical Education and Training:

Mrs Beverley Ann Blake Odoherty graduated from nursing school in 1996

NPI Data:

NPI Number: 1821166539
Provider Enumeration Date: 12/01/2006
Last Update Date: 09/09/2024

Medicare PECOS Information:

PECOS PAC ID: 3577514207
Enrollment ID: I20091229000076

Medical Identifiers

Medical identifiers for Mrs Beverley Ann Blake Odoherty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821166539	NPI	-	NPPES
16301862	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN172038 (Colorado)	Secondary
363LF0000X	Nurse Practitioner - Family	NP925A (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mckenzie-willamette Medical Center	Springfield, OR	Hospital
Portneuf Medical Center	Pocatello, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pocatello Health Services Llc	6608927637	153
South Sound Inpatient Physicians Pllc	5991618738	302

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Beverley Ann Blake Odoherty allows following entities to bill medicare on her behalf.

Entity Name	Pocatello Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689802852 PECOS PAC ID: 6608927637 Enrollment ID: O20090701000646

Entity Name	Teton Valley Health Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013264183 PECOS PAC ID: 3870744956 Enrollment ID: O20121128000587

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Beverley Ann Blake Odoherty is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Beverley Ann Blake Odoherty, CFNP 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-8752	Mrs Beverley Ann Blake Odoherty, CFNP 801 Pole Line Rd W, Twin Falls, ID 83301-5810 Ph: (208) 814-4100

Reviews and Comments

Nurse Practitioner Nurses in Twin Falls, ID

Madison Christine Campbell, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 815 N College Rd, Twin Falls, ID 83301 Phone: 208-814-9100 Fax: 208-814-9903
Janice Carter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2086 Addison Ave E, Twin Falls, ID 83301 Phone: 208-733-9697 Fax: 208-733-3197
Lesley D. Goulding, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 302, Twin Falls, ID 83301 Phone: 208-814-8740 Fax: 208-814-8955
Mrs. Amanda Jo Prestigiacomo, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 N Haven Dr, Twin Falls, ID 83301 Phone: 208-904-4780 Fax: 208-904-4832
Mrs. Raemi Dawn Nolevanko, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000
Reatta Omoth, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2550 Addison Ave E Ste E, Twin Falls, ID 83301 Phone: 208-814-7780 Fax: 208-814-7746
Corinne Bartschi, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1502 Locust St N Ste 700, Twin Falls, ID 83301 Phone: 208-595-5095

Mrs Beverley Ann Blake Odoherty, CFNP - Medicare Nurse Practitioner in Twin Falls, ID