| Ms Suzanne Jenkins Russell, LCSW CCM | |
|
2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | |
| (505) 379-3703 | |
| Not Available |
| Full Name | Ms Suzanne Jenkins Russell |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2003 Kootenai Health Way, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841309838 | NPI | - | NPPES |
| 15226379 | Medicaid | NM |
| Entity Name | Kootenai Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235288655 PECOS PAC ID: 4789641598 Enrollment ID: O20041214000230 |
| Entity Name | Kootenai Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Suzanne Jenkins Russell, LCSW CCM 11400 Ranchitos Rd Ne, Albuquerque, NM 87122-2394 Ph: (505) 379-3703 | Ms Suzanne Jenkins Russell, LCSW CCM 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (505) 379-3703 |
Donna Colberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6050 E Kingswood Ln, Coeur D Alene, ID 83814 Phone: 208-651-3948 | |
Deemarla Tavares, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3700 W Seltice Way, Coeur D Alene, ID 83814 Phone: 208-620-5250 | |
Ms. Erica Marie Chaney I, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3700 W Seltice Way, Coeur D Alene, ID 83814 Phone: 208-620-5250 | |
Mr. Jud Eugene Leifheit, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1110 W Park Pl Ste 305, Coeur D Alene, ID 83814 Phone: 208-667-6606 Fax: 208-765-3051 | |
Wayne Bingham Timonen, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7905 N Meadowlark Way, Suite C, Coeur D Alene, ID 83815 Phone: 208-762-3979 Fax: 208-762-4419 | |
Robert K Wyatt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1111 W Ironwood Dr Ste B, Coeur D Alene, ID 83814 Phone: 208-664-1594 Fax: 208-664-5867 | |
Laurie D Regan, LCSW 688 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-666-2000 Fax: 208-666-3963 |