Mrs Michele Renee Dickison, NP-C | |
1250 Idaho St, Lewiston, ID 83501-1965 | |
(208) 743-7427 | |
(208) 743-7421 |
Full Name | Mrs Michele Renee Dickison |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 1250 Idaho St, Lewiston, 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 |
---|---|---|---|
1841687001 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | NP-1551A (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Regional Medical Center | Lewiston, ID | Hospital |
Gritman Medical Center | Moscow, ID | Hospital |
Pullman Regional Hospital | Pullman, WA | Hospital |
Syringa General Hospital | Grangeville, ID | Hospital |
St Marys Hospital And Clinics | Cottonwood, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Joseph Hospital Llc | 8325325806 | 43 |
Entity Name | St Joseph Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790816262 PECOS PAC ID: 2961497235 Enrollment ID: O20041220001093 |
Entity Name | St Joseph Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205368404 PECOS PAC ID: 8325325806 Enrollment ID: O20170606002496 |
Mailing Address | Practice Location Address |
---|---|
Mrs Michele Renee Dickison, NP-C Po Box 816, 415 6th St, Lewiston, ID 83501-0816 Ph: (208) 743-7427 | Mrs Michele Renee Dickison, NP-C 1250 Idaho St, Lewiston, ID 83501-1965 Ph: (208) 743-7427 |
Mrs. Nicole M Engledow, ARPN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 8th Ave, Lewiston, ID 83501 Phone: 208-792-2685 Fax: 208-792-2882 | |
Susan P Stutzman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 10th St, Lewiston, ID 83501 Phone: 208-799-3100 Fax: 208-799-0349 | |
Anita Ringering, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 336 Warner Dr, Ste 4, Lewiston, ID 83501 Phone: 208-413-3835 | |
Spencer Godfrey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1203 Idaho St, Lewiston, ID 83501 Phone: 208-848-8300 | |
Tracy Streibick Flynn, FNP, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1203 Idaho St, Lewiston, ID 83501 Phone: 208-848-8300 | |
Tayler Lyndsey Holman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3428 5th St, Lewiston, ID 83501 Phone: 509-552-6674 | |
Ms. Leslie Corrine Rogers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 428 6th Ave, Lewiston, ID 83501 Phone: 208-263-9757 Fax: 208-965-8128 |