Mrs Jeanna Rae Rendo, NP-C | |
811 Nw 12th St, Fruitland, ID 83619-2268 | |
(208) 452-7450 | |
Not Available |
Full Name | Mrs Jeanna Rae Rendo |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 811 Nw 12th St, Fruitland, 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 |
---|---|---|---|
1205466281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 60528 (Idaho) | Secondary |
363L00000X | Nurse Practitioner | 60528 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Regional Medical Center | Boise, ID | Hospital |
Saint Alphonsus Medical Center - Ontario, Inc | Ontario, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Issc Fruitland | 9335520113 | 3 |
Entity Name | C T Derm Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902843485 PECOS PAC ID: 4082600713 Enrollment ID: O20040420001564 |
Entity Name | Issc Fruitland |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568112688 PECOS PAC ID: 9335520113 Enrollment ID: O20220726000838 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jeanna Rae Rendo, NP-C 24537 Blackbird St, Middleton, ID 83644-5125 Ph: (208) 695-6668 | Mrs Jeanna Rae Rendo, NP-C 811 Nw 12th St, Fruitland, ID 83619-2268 Ph: (208) 452-7450 |
Katlin Nicole Foote, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 Nw 16th St, Ste 101, Fruitland, ID 83619 Phone: 208-452-8000 Fax: 208-452-8055 | |
Brianne Minor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 Nw 16th St Ste 101, Fruitland, ID 83619 Phone: 208-452-8050 | |
Brittney Irons, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 811 Nw 12th St, Fruitland, ID 83619 Phone: 208-452-7450 | |
Duy Trinh, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 Nw 12th St, Fruitland, ID 83619 Phone: 208-452-2662 | |
Kourtney Holder, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 Nw 16th St, Ste 101, Fruitland, ID 83619 Phone: 208-452-8000 Fax: 208-452-8055 | |
Mrs. Jeanette Hazel Marie Reiners, DNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 Nw 16th St, Fruitland, ID 83619 Phone: 208-452-8000 |