| Tabetha Hoadley, | |
|
2621 Stoll Ct, Caldwell, ID 83607-5054 | |
| (208) 899-7119 | |
| Not Available |
| Full Name | Tabetha Hoadley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 2621 Stoll Ct, Caldwell, 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 |
|---|---|---|---|
| 1659031193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | TEMP54497 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Valley Medical Center | Caldwell, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carepoint Health Emergency Medicine Idaho Pllc | 6406283860 | 12 |
| West Valley Medical Associates Inc | 9931467289 | 8 |
| Entity Name | West Valley Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164936720 PECOS PAC ID: 9931467289 Enrollment ID: O20171214002975 |
| Entity Name | Bloom Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679134126 PECOS PAC ID: 2466782453 Enrollment ID: O20190917003533 |
| Entity Name | Carepoint Health Emergency Medicine Idaho Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285275461 PECOS PAC ID: 6406283860 Enrollment ID: O20200224002457 |
| Mailing Address | Practice Location Address |
|---|---|
| Tabetha Hoadley, 2621 Stoll Ct, Caldwell, ID 83607-5054 Ph: (208) 899-7119 | Tabetha Hoadley, 2621 Stoll Ct, Caldwell, ID 83607-5054 Ph: (208) 899-7119 |
Cynthia Jane Floyd, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15076 Plum Rd, Caldwell, ID 83607 Phone: 208-830-5560 | |
Matthew Fowler, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 E Logan St Ste 301, Caldwell, ID 83605 Phone: 208-649-4315 Fax: 208-649-4513 | |
Ashley Fae White, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 Arlington Ave, Caldwell, ID 83605 Phone: 208-459-4641 | |
Mrs. Deborah Lee Sullivan, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 211 E Logan St, Suite 105, Caldwell, ID 83605 Phone: 208-454-0567 Fax: 208-402-6635 | |
Lynette Joy Ages, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1818 S 10th Ave Ste 200, Caldwell, ID 83605 Phone: 208-453-6417 Fax: 208-453-6419 | |
Robert Slade Thacker, APRN CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1906 Fairview Ave, Ste. 230, Caldwell, ID 83605 Phone: 208-459-4667 | |
Crystal Gail Belcourt, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1620 S Kimball Ave, Caldwell, ID 83605 Phone: 208-505-2950 Fax: 208-505-2955 |