| John Horstkamp, MD | |
|
111 Bever Grade, Lapwai, ID 83540-8354 | |
| (208) 843-2271 | |
| Not Available |
| Full Name | John Horstkamp |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 111 Bever Grade, Lapwai, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932172723 | NPI | - | NPPES |
| 8436818 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M-16631 (Idaho) | Secondary |
| 207Q00000X | Family Medicine | MD00034221 (Washington) | Primary |
| Entity Name | Nez Perce Tribal Health Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790795888 PECOS PAC ID: 0941288302 Enrollment ID: O20040712000823 |
| Mailing Address | Practice Location Address |
|---|---|
| John Horstkamp, MD 1025 Sw Crestview St, Pullman, WA 99163-2015 Ph: (509) 334-5493 | John Horstkamp, MD 111 Bever Grade, Lapwai, ID 83540-8354 Ph: (208) 843-2271 |
Dr. Roxie Kim Hartwig, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 111 Bever Grade Rd, Lapwai, ID 83540 Phone: 208-843-2271 Fax: 208-621-4995 | |
Dustin K Worth, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Bever Grade Road, Lapwai, ID 83540 Phone: 208-843-2271 Fax: 208-621-4995 | |
Dr. Edward D. Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Bever Grade Road, Lapwai, ID 83540 Phone: 208-843-2271 Fax: 208-621-4995 | |
Dr. Carena May Thompson, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 111 Beaver Grade Road, Lapwai, ID 83540 Phone: 208-843-2842 Fax: 309-527-3525 |