| Heather Nicole Knutson, NP | |
|
1605 E Riverside Drive, Eagle, ID 83616-6237 | |
| (208) 939-6227 | |
| (208) 939-6442 |
| Full Name | Heather Nicole Knutson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 22 Years |
| Location | 1605 E Riverside Drive, Eagle, 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 |
|---|---|---|---|
| 1215936034 | NPI | - | NPPES |
| P00748833 | Other | ID | RAILROAD MEDICARE 08/01/09 |
| NP 672A | Other | ID | NP LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | NP672A (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Keller Skin And Cancer Care Pc | 2769647759 | 4 |
| Entity Name | Keller Skin & Cancer Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649543323 PECOS PAC ID: 2769647759 Enrollment ID: O20120625000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Nicole Knutson, NP 1605 E Riverside Drive, Eagle, ID 83616-6237 Ph: (208) 939-6227 | Heather Nicole Knutson, NP 1605 E Riverside Drive, Eagle, ID 83616-6237 Ph: (208) 939-6227 |
Dr. Gabriel Guerrero, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 74 N Fisher Park Way, Eagle, ID 83616 Phone: 208-391-7210 Fax: 208-391-2130 | |
Dr. Gregory Lynn Flint, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 868 E Riverside Dr, Suite 200, Eagle, ID 83616 Phone: 208-367-2864 Fax: 208-323-0310 | |
Dr. Wade Robert Keller, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1605 E Riverside Dr, Eagle, ID 83616 Phone: 208-939-6227 Fax: 208-939-6442 |