| Sara Joanne Mitchem, PMHNP | |
|
2286 Poen Rd, Kuna, ID 83634-1783 | |
| (208) 830-2518 | |
| Not Available |
| Full Name | Sara Joanne Mitchem |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 2286 Poen Rd, Kuna, 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 |
|---|---|---|---|
| 1245947720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 74437 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sondermind Provider Network Llc | 9537572490 | 1295 |
| Entity Name | Sondermind Provider Network LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20240815003711 |
| Entity Name | Mental Health Specialty Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240916003985 |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Joanne Mitchem, PMHNP 2286 Poen Rd, Kuna, ID 83634-1783 Ph: (208) 830-2518 | Sara Joanne Mitchem, PMHNP 2286 Poen Rd, Kuna, ID 83634-1783 Ph: (208) 830-2518 |
Selah Worley, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13500 Pleasant Vly Rd, Kuna, ID 83634 Phone: 208-336-0740 |
Kara Dawn Prince, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 825 W Deer Flat Rd Ste 150, Kuna, ID 83634 Phone: 208-858-4876 |
Ivan Belleza, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13500 Pleasant Vly Rd, Kuna, ID 83634 Phone: 208-424-3726 |
Mr. Rex O Underwood Ii, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13900 S Pleasant Valley Rd, Kuna, ID 83634 Phone: 208-333-0037 |
Mr. William Lincoln Poulson, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13500 South Pleasant Valley Road, Kuna, ID 83634 Phone: 208-371-7468 |
Amanda Marie Tillemans, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13500 S Pleasant Valley Rd, Kuna, ID 83634 Phone: 208-336-0740 |
Vicki Michelle Goss, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13400 S Pleasant Valley Rd, Kuna, ID 83634 Phone: 208-383-1635 |