Cody Haas, PMHNP-BC | |
4650 Hawthorne Rd Ste 3b, Chubbuck, ID 83202-2376 | |
(208) 252-5621 | |
(208) 648-4167 |
Full Name | Cody Haas |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 4650 Hawthorne Rd Ste 3b, Chubbuck, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902462039 | NPI | - | NPPES |
1902462039 | Medicaid | ID | |
500808652 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 58483 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St. Alphonsus Medical Center - Baker City | Baker city, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Canvi Behavioral Health Pllc | 0941692073 | 11 |
Haas Associates, Llc | 4880080100 | 2 |
Haas Associates, Llc | 4880080100 | 2 |
Entity Name | Canvi Behavioral Health Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144984873 PECOS PAC ID: 0941692073 Enrollment ID: O20220121000627 |
Entity Name | Haas Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497406904 PECOS PAC ID: 4880080100 Enrollment ID: O20220426001410 |
Mailing Address | Practice Location Address |
---|---|
Cody Haas, PMHNP-BC Po Box 2516, Pocatello, ID 83206-2516 Ph: (208) 252-5621 | Cody Haas, PMHNP-BC 4650 Hawthorne Rd Ste 3b, Chubbuck, ID 83202-2376 Ph: (208) 252-5621 |
Justin Gregory Merzlock, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4511 Zebe Ave, Chubbuck, ID 83202 Phone: 208-904-4780 Fax: 208-904-4832 | |
Dr. Scott Robert Barlow, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 476 E Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-233-9898 Fax: 208-232-8566 | |
Patricia Stadler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 570 Redman St, Chubbuck, ID 83202 Phone: 602-703-4196 | |
Heidi Winder, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 476 E Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-233-9898 Fax: 208-232-8566 | |
Dr. Matthew Mitchell Day, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4511 Zebe Ave, Chubbuck, ID 83202 Phone: 208-904-4832 | |
Brandon Smith, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5067 Camden St, Chubbuck, ID 83202 Phone: 208-840-0044 | |
Stevie Marie Miller, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5274 Kymball Dr, Chubbuck, ID 83202 Phone: 208-240-8137 |