| Ms Bernadette Jamie Rundhaug, MED | |
|
701 Lewiston St, Cottonwood, ID 83522 | |
| (208) 962-3251 | |
| Not Available |
| Full Name | Ms Bernadette Jamie Rundhaug |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 701 Lewiston St, Cottonwood, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003948845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LCPC-7085 (Idaho) | Primary |
| Entity Name | St. Mary's Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841292307 PECOS PAC ID: 5092773168 Enrollment ID: O20050316000814 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Bernadette Jamie Rundhaug, MED Po Box 137, Cottonwood, ID 83522-0137 Ph: (208) 962-3251 | Ms Bernadette Jamie Rundhaug, MED 701 Lewiston St, Cottonwood, ID 83522 Ph: (208) 962-3251 |
Mr. Dean E Allen, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Lewiston St., Orr Building, Cottonwood, ID 83522 Phone: 208-790-4418 | |
Holly Graham, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 Main St Ste A, Cottonwood, ID 83522 Phone: 208-921-3920 | |
Bryan Leon Gimmeson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 236 Radar Rd, Cottonwood, ID 83522 Phone: 208-962-3276 |