| Stacy Beeson, | |
|
9850 W St Lukes Dr Ste 327, Nampa, ID 83687-7912 | |
| (208) 331-1155 | |
| (208) 383-0190 |
| Full Name | Stacy Beeson |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 32 Years |
| Location | 9850 W St Lukes Dr Ste 327, Nampa, 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 |
|---|---|---|---|
| 1811310360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 810997 (Colorado) | Secondary |
| 133V00000X | Dietitian, Registered | 1071188 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Nampa Medical Center | Nampa, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic-treasure Valley Llc | 4981878402 | 1155 |
| Provider Name | St Lukes Clinic-treasure Valley LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Beeson, 190 E Bannock St, Boise, ID 83712-6241 Ph: Not Available | Stacy Beeson, 9850 W St Lukes Dr Ste 327, Nampa, ID 83687-7912 Ph: (208) 331-1155 |
Mr. Sia Argeanas, R.D. L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 824 S Diamond St, Nampa, ID 83686 Phone: 208-514-2103 Fax: 208-465-8437 |
'in Care Of' Nourish Your Life Dietitian Medicare: Medicare Enrolled Practice Location: 1105 2nd St. S., Nampa, ID 83651 Phone: 208-250-0836 Fax: 888-972-6280 |
Teresa Chinn, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1127 Caldwell Blvd, Nampa, ID 83651 Phone: 208-465-4935 |
Elizabeth Johnson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 207 1st St S, Nampa, ID 83651 Phone: 208-466-7869 Fax: 208-466-5359 |
Cynthia Stephanie Alvarez, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 207 1st St S, Nampa, ID 83651 Phone: 208-466-7869 |
Mrs. Barbara Kay Herbel, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9951 W St Lukes Dr, Nampa, ID 83687 Phone: 208-467-6700 Fax: 208-463-6044 |
Garnette Morgan Walker, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9850 St Lukes Dr, Nampa, ID 83687 Phone: 208-205-7179 |