| Nicole Marie Bothman, | |
|
308 Louisiana Ave Ste 1, Libby, MT 59923-2159 | |
| (406) 283-6800 | |
| Not Available |
| Full Name | Nicole Marie Bothman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 308 Louisiana Ave Ste 1, Libby, Montana |
| 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 |
|---|---|---|---|
| 1437717360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | NUR-APRN-APP-144934 (Montana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cabinet Peaks Medical Center | Libby, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Johns Lutheran Hospital Inc | 1557255676 | 20 |
| Entity Name | St Johns Lutheran Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952312050 PECOS PAC ID: 1557255676 Enrollment ID: O20040210000931 |
| Entity Name | St Johns Lutheran Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1952312050 PECOS PAC ID: 1557255676 Enrollment ID: O20120405000136 |
| Entity Name | Family Health & Wellness Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275118085 PECOS PAC ID: 9436566437 Enrollment ID: O20210317003084 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Marie Bothman, 308 Louisiana Ave Ste 1, Libby, MT 59923-2159 Ph: (406) 283-6800 | Nicole Marie Bothman, 308 Louisiana Ave Ste 1, Libby, MT 59923-2159 Ph: (406) 283-6800 |
Riki Lee Thompson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 Louisiana Ave, Libby, MT 59923 Phone: 406-283-6850 | |
Nicole Desiree Haats, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 308 Louisiana Ave Ste 5, Libby, MT 59923 Phone: 406-293-6594 | |
Mrs. Lorna M Shea, FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 211 E 2nd St, Libby, MT 59923 Phone: 406-293-8711 Fax: 406-293-8735 | |
Ms. Michelle Lynn Boltz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 214 E 3rd St, Libby, MT 59923 Phone: 406-293-9274 Fax: 406-293-9280 | |
Natasha Haines, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 116 E Balsam St, Libby, MT 59923 Phone: 406-334-4550 | |
Mrs. Adrianne Claire Joanne Roddy, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 211 E 2nd St, Libby, MT 59923 Phone: 406-293-8711 | |
Mrs. Virginia Fikes, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 E 2nd St, Libby, MT 59923 Phone: 406-293-8711 |