Genesis Restorative Medicine | |
1525 Addison Ave E Ste A2 Twin Falls ID 83301-5300 | |
(208) 739-9961 | |
(208) 739-9962 |
Full Name | Genesis Restorative Medicine |
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Speciality | Clinic/Center |
Location | 1525 Addison Ave E Ste A2, Twin Falls, Idaho |
Authorized Official Name and Position | Lindsay Hubsmith (OWNER) |
Authorized Official Contact | 2083583225 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Genesis Restorative Medicine 496 Shoup Ave W Ste B Twin Falls ID 83301-5043 Ph: (208) 739-9961 | Genesis Restorative Medicine 1525 Addison Ave E Ste A2 Twin Falls ID 83301-5300 Ph: (208) 739-9961 |
NPI Number | 1487393393 |
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Provider Enumeration Date | 05/31/2022 |
Last Update Date | 08/07/2024 |
Medicare PECOS PAC ID | 2365823069 |
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Medicare Enrollment ID | O20220712003605 |
Identifier | Type | State | Issuer |
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1487393393 | NPI | - | NPPES |
Provider Name | Lauren A Schoessler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720559404 PECOS PAC ID: 0042558470 Enrollment ID: I20190211001638 |
Provider Name | Jessica Torrez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205307097 PECOS PAC ID: 1052644044 Enrollment ID: I20190606000353 |
Provider Name | Bryan L Gourley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629500947 PECOS PAC ID: 8921346727 Enrollment ID: I20190625001960 |
Provider Name | Kristy Handyside |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437715208 PECOS PAC ID: 5294066254 Enrollment ID: I20191007001714 |
Provider Name | Erica L Sommer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720794399 PECOS PAC ID: 5991143521 Enrollment ID: I20240402002563 |
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