| Shandra Dee Averett, FNP-C | |
|
98 Poplar St, Blackfoot, ID 83221-1758 | |
| (208) 785-4100 | |
| Not Available |
| Full Name | Shandra Dee Averett |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 3 Years |
| Location | 98 Poplar St, Blackfoot, 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 |
|---|---|---|---|
| 1720580848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 58040 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bingham Memorial Hospital | Blackfoot, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bmh Inc | 8426149758 | 124 |
| Entity Name | Bmh Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255539193 PECOS PAC ID: 8426149758 Enrollment ID: O20071018000897 |
| Mailing Address | Practice Location Address |
|---|---|
| Shandra Dee Averett, FNP-C 357 W 170 N, Blackfoot, ID 83221-5614 Ph: () - | Shandra Dee Averett, FNP-C 98 Poplar St, Blackfoot, ID 83221-1758 Ph: (208) 785-4100 |
Mr. Daniel Joseph Barney, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1495 Parkway Dr, Ste C, Blackfoot, ID 83221 Phone: 208-643-4231 Fax: 208-643-4235 | |
Danielle E Bangerter, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2500 | |
Kay M Powell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9 Airport Rd, Blackfoot, ID 83221 Phone: 208-782-3979 Fax: 208-782-3994 | |
Hyrum Davenport, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 | |
Douglas Gilbert, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 | |
Miss Elizabeth H. Cameron, C.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1395 Nw Main St, Blackfoot, ID 83221 Phone: 208-785-0270 Fax: 208-785-0683 | |
Brittany Marie Czerna, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1791 Frontage Rd, Blackfoot, ID 83221 Phone: 208-404-2088 |