Theresa M Smith, FNP | |
1522 17th St, Lewiston, ID 83501-3652 | |
(208) 743-8416 | |
(208) 743-4642 |
Full Name | Theresa M Smith |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 26 Years |
Location | 1522 17th St, Lewiston, 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 |
---|---|---|---|
1740331842 | NPI | - | NPPES |
805306500 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NP388A (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Elite Home Health | Clarkston, WA | Home health agency |
Advanced Home Care Of Coeur D'alene | Coeur d'alene, ID | Home health agency |
Tri-state Memorial Hospital | Clarkston, WA | Hospital |
St Joseph Regional Medical Center | Lewiston, ID | Hospital |
Clearwater Valley Hospital & Clinics | Orofino, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vannvei Llc | 1254743420 | 20 |
Entity Name | Tri-state Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598814352 PECOS PAC ID: 4082502422 Enrollment ID: O20040911000031 |
Entity Name | Vannvei Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881200517 PECOS PAC ID: 1254743420 Enrollment ID: O20201211000338 |
Mailing Address | Practice Location Address |
---|---|
Theresa M Smith, FNP Po Box 341, Lewiston, ID 83501-0341 Ph: (208) 743-8416 | Theresa M Smith, FNP 1522 17th St, Lewiston, ID 83501-3652 Ph: (208) 743-8416 |
Mrs. Nicole M Engledow, ARPN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 8th Ave, Lewiston, ID 83501 Phone: 208-792-2685 Fax: 208-792-2882 | |
Susan P Stutzman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 10th St, Lewiston, ID 83501 Phone: 208-799-3100 Fax: 208-799-0349 | |
Anita Ringering, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 336 Warner Dr, Ste 4, Lewiston, ID 83501 Phone: 208-413-3835 | |
Spencer Godfrey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1203 Idaho St, Lewiston, ID 83501 Phone: 208-848-8300 | |
Tracy Streibick Flynn, FNP, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1203 Idaho St, Lewiston, ID 83501 Phone: 208-848-8300 | |
Tayler Lyndsey Holman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3428 5th St, Lewiston, ID 83501 Phone: 509-552-6674 | |
Ms. Leslie Corrine Rogers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 428 6th Ave, Lewiston, ID 83501 Phone: 208-263-9757 Fax: 208-965-8128 |