Staci J Walner, NP | |
12761 N Emerald Dr, Hayden, ID 83835-9429 | |
(208) 704-6655 | |
Not Available |
Full Name | Staci J Walner |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 12761 N Emerald Dr, Hayden, 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 |
---|---|---|---|
1669036976 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 61171 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ideal Telemedicine Services Llc | 2860726221 | 65 |
Ideal Option Pllc | 6709013105 | 107 |
Ideal Telemedicine Services Llc | 2860726221 | 65 |
Ideal Option Pllc | 6709013105 | 107 |
Ideal Telemedicine Services Llc | 2860726221 | 65 |
Ideal Option Pllc | 6709013105 | 107 |
Ideal Telemedicine Services Llc | 2860726221 | 65 |
Ideal Option Pllc | 6709013105 | 107 |
Ideal Telemedicine Services Llc | 2860726221 | 65 |
Ideal Option Pllc | 6709013105 | 107 |
Entity Name | Ideal Option Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457788275 PECOS PAC ID: 6709013105 Enrollment ID: O20170112000521 |
Entity Name | Ideal Telemedicine Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346754868 PECOS PAC ID: 2860726221 Enrollment ID: O20190716002529 |
Mailing Address | Practice Location Address |
---|---|
Staci J Walner, NP 12761 N Emerald Dr, Hayden, ID 83835-9429 Ph: (208) 704-6655 | Staci J Walner, NP 12761 N Emerald Dr, Hayden, ID 83835-9429 Ph: (208) 704-6655 |
Mrs. Betsy Dale Poot Poot, ARNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1286 W Leisure Dr, Hayden, ID 83835 Phone: 360-421-2520 | |
Susan Cross, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Hospice Of North Idaho, 9493 N Government Way, Hayden, ID 83835 Phone: 208-772-7994 | |
Dorothy Teresa Mccree, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8836 N Hess St Ste C, Hayden, ID 83835 Phone: 208-762-7760 Fax: 208-762-7740 | |
Mr. Jacob C Reedy, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1986 W. Hayden Ave, Hayden, ID 83835 Phone: 208-762-7760 Fax: 208-762-7740 | |
Mrs. Sheena Satoko Young, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1986 W Hayden Ave, Hayden, ID 83835 Phone: 208-762-7760 Fax: 208-762-7740 | |
Nikole Arrotta Tabaracci, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8382 N Wayne Dr Ste 204, Hayden, ID 83835 Phone: 208-635-5265 | |
Cindy Barnes, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8500 N Atlas Rd, Hayden, ID 83835 Phone: 208-415-5270 Fax: 208-415-5101 |