| Brittany Van Ness, MD | |
|
9850 W St Lukes Dr Ste 320, Nampa, ID 83687-7912 | |
| (208) 505-2222 | |
| (208) 205-7666 |
| Full Name | Brittany Van Ness |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 9850 W St Lukes Dr Ste 320, Nampa, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902433170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | M-17787 (Idaho) | Primary |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Brittany Van Ness, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Brittany Van Ness, MD 9850 W St Lukes Dr Ste 320, Nampa, ID 83687-7912 Ph: (208) 505-2222 |
John-minh Nguyen, D.O Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 9850 W St Lukes Dr, Nampa, ID 83687 Phone: 208-706-6375 Fax: 208-706-6395 | |
Dr. Mary E River, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4300 E Flamingo Ave, Nampa, ID 83687 Phone: 208-205-1000 | |
Ladonna Wiedenman, BS Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 915 Parkcentre Way Ste 7, Nampa, ID 83651 Phone: 208-442-7791 Fax: 208-442-7792 | |
Dr. Michael R. Djernes, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 215 E Hawaii Ave, Nampa, ID 83686 Phone: 208-463-3197 Fax: 208-463-3044 | |
Lawrence E Green, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 16060 Idaho Center Blvd, Nampa, ID 83687 Phone: 208-467-3368 Fax: 208-467-3360 | |
Dr. Bill Taylor Terry, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 408 22nd Ave S, Nampa, ID 83651 Phone: 208-866-5365 Fax: 208-939-8801 | |
Jennie Quaine, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 9850 W St Lukes Dr, Nampa, ID 83687 Phone: 208-381-5970 |