Sydney Elizabeth Disselkamp, FNP | |
1551 E Mullan Ave Ste 200b, Post Falls, ID 83854-9005 | |
(208) 262-2213 | |
(208) 262-2214 |
Full Name | Sydney Elizabeth Disselkamp |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 1551 E Mullan Ave Ste 200b, Post Falls, 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 |
---|---|---|---|
1023604089 | NPI | - | NPPES |
1023604089 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 63540 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwest Specialty Hospital | Post falls, ID | Hospital |
Kootenai Health | Coeur d'alene, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Idaho Day Surgery Llc | 0840101218 | 73 |
Entity Name | North Idaho Day Surgery Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104824739 PECOS PAC ID: 0840101218 Enrollment ID: O20110401000539 |
Mailing Address | Practice Location Address |
---|---|
Sydney Elizabeth Disselkamp, FNP 1593 E Polston Ave, Post Falls, ID 83854-5326 Ph: (208) 262-2300 | Sydney Elizabeth Disselkamp, FNP 1551 E Mullan Ave Ste 200b, Post Falls, ID 83854-9005 Ph: (208) 262-2213 |
Catherine M Woodland, CNM, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 925 E Polston Ave, Post Falls, ID 83854 Phone: 208-618-0787 Fax: 844-807-3782 | |
Michael Eugene Wigle, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 925 E Polston Ave, Post Falls, ID 83854 Phone: 208-618-0787 Fax: 208-618-0796 | |
Meeka J Bond, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 E Mullan Ave Ste 200a, Post Falls, ID 83854 Phone: 208-262-2482 Fax: 208-262-7460 | |
Mr. Gary Arthur Hurst, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1641 E Polston Ave Ste 101, Post Falls, ID 83854 Phone: 208-457-4208 Fax: 208-457-4197 | |
Katiuska A Vestman, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4225 E Poleline Ave Apt 206, Post Falls, ID 83854 Phone: 208-518-8111 | |
Barbara Richardson, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 925 E Polston Ave, Post Falls, ID 83854 Phone: 208-618-0787 |