Tanya Reid Crystal, FNP-C | |
1308 8th St, Rupert, ID 83350-1530 | |
(208) 436-4322 | |
(208) 436-1312 |
Full Name | Tanya Reid Crystal |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 1308 8th St, Rupert, 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 |
---|---|---|---|
1982051751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 35806 (Idaho) | Secondary |
363LF0000X | Nurse Practitioner - Family | 54387 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Minidoka Memorial Hospital | Rupert, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Minidoka Memorial Hospital | 7315908894 | 20 |
Entity Name | Ihc Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710156922 PECOS PAC ID: 1850209420 Enrollment ID: O20040325001015 |
Entity Name | Minidoka Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679553531 PECOS PAC ID: 7315908894 Enrollment ID: O20050801000086 |
Mailing Address | Practice Location Address |
---|---|
Tanya Reid Crystal, FNP-C 1224 8th Street, Rupert, ID 83350-1527 Ph: (208) 434-8236 | Tanya Reid Crystal, FNP-C 1308 8th St, Rupert, ID 83350-1530 Ph: (208) 436-4322 |
Cameron Mchan, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1308 8th St Ste 1, Rupert, ID 83350 Phone: 208-436-4322 Fax: 208-436-1312 | |
Shawna M Mccaffrey, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1308 8th St, Rupert, ID 83350 Phone: 208-436-4322 Fax: 208-436-1312 | |
Sara Marie Zielinski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1308 8th St Ste 1, Rupert, ID 83350 Phone: 208-436-4322 | |
Robbie Joe Carroll, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 402 6th St, Family Health Services, Rupert, ID 83350 Phone: 208-650-7941 Fax: 208-436-0735 | |
Becca Warnick, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1308 8th St Ste 1, Rupert, ID 83350 Phone: 208-436-4322 Fax: 208-436-1312 | |
Casie Taylor, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1308 8th St, Ste 1, Rupert, ID 83350 Phone: 208-436-4322 Fax: 208-436-1312 | |
Aaron Catmull, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1308 8th St Ste 1, Rupert, ID 83350 Phone: 208-436-4322 Fax: 208-436-1312 |