| Dr Diana Lynne Yandell, MD | |
|
415 6th St, Lewiston, ID 83501-2431 | |
| (512) 730-3056 | |
| (888) 730-1925 |
| Full Name | Dr Diana Lynne Yandell |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 415 6th St, Lewiston, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760611313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 4301094732 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | M14624 (Idaho) | Primary |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | Chase Dennis Emergency Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033152350 PECOS PAC ID: 2264345172 Enrollment ID: O20041109001017 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Diana Lynne Yandell, MD 7500 Rialto Blvd Ste 1-140, Austin, TX 78735-8534 Ph: (512) 730-3056 | Dr Diana Lynne Yandell, MD 415 6th St, Lewiston, ID 83501-2431 Ph: (512) 730-3056 |
Dr. Nancy Berkheiser, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-799-5554 | |
Dr. Jay Hunter, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-799-5554 | |
Dr. David Kendrick, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-799-5554 | |
Dr. Matthew Lysne, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-799-5554 |