Mrs Codie M Robertson, FNP-C | |
110 Vista Dr, Pocatello, ID 83201-4520 | |
(208) 234-2300 | |
Not Available |
Full Name | Mrs Codie M Robertson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 110 Vista Dr, Pocatello, 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 |
---|---|---|---|
1134477870 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NP-1210A (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Portneuf Medical Center | Pocatello, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Health West Inc | 4981500931 | 47 |
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 | Primary Care Specialists Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508875881 PECOS PAC ID: 4082699574 Enrollment ID: O20210323002420 |
Mailing Address | Practice Location Address |
---|---|
Mrs Codie M Robertson, FNP-C 5330 Stuart Ave, Chubbuck, ID 83202-2262 Ph: (208) 221-6187 | Mrs Codie M Robertson, FNP-C 110 Vista Dr, Pocatello, ID 83201-4520 Ph: (208) 234-2300 |
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 |