| Rachel Bordewyk, MS, LPC | |
|
132 5th Ave W, Jerome, ID 83338-1871 | |
| (208) 814-9800 | |
| (208) 933-9648 |
| Full Name | Rachel Bordewyk |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 132 5th Ave W, Jerome, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417782921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LPC-9761 (Idaho) | Primary |
| Entity Name | St Lukes Clinic - Wood River Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972891604 PECOS PAC ID: 3173783818 Enrollment ID: O20120404000474 |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel Bordewyk, MS, LPC 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Rachel Bordewyk, MS, LPC 132 5th Ave W, Jerome, ID 83338-1871 Ph: (208) 814-9800 |
Jamey Lee Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 414 N Lincoln Ave, Jerome, ID 83338 Phone: 208-481-0905 | |
Kellsy Teresa Gallup, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 924 S Davis St, Jerome, ID 83338 Phone: 208-490-6788 | |
Tonya Lynn Jepson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 413 W 285 S, Jerome, ID 83338 Phone: 208-970-2245 | |
Gerlyn Danette Walker, LPC-7901 Counselor Medicare: Not Enrolled in Medicare Practice Location: 414 N Lincoln Ave Ste 1, Jerome, ID 83338 Phone: 208-324-5431 Fax: 208-324-5597 | |
Christine M Ivie, LPC - 815 Counselor Medicare: Not Enrolled in Medicare Practice Location: 41 Northridge Way, Jerome, ID 83338 Phone: 208-871-7749 | |
Ms. Sally Jo Leyse, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 601a Pioneer Mountain Loop, Jerome, ID 83338 Phone: 208-420-5902 |