| Renewed Hope Counseling And Wellness | |
|
1550 N Crestmont Dr Ste E Meridian ID 83642-2184 | |
| (208) 288-4200 | |
| (208) 288-4279 |
| Full Name | Renewed Hope Counseling And Wellness |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1550 N Crestmont Dr, Meridian, Idaho |
| Authorized Official Name and Position | Deborah Ann Rush (PRESCRIBER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 2082884200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Hope Counseling And Wellness 1550 N Crestmont Dr Ste E Meridian ID 83642-2184 Ph: (208) 288-4200 | Renewed Hope Counseling And Wellness 1550 N Crestmont Dr Ste E Meridian ID 83642-2184 Ph: (208) 288-4200 |
| NPI Number | 1861893661 |
|---|---|
| Provider Enumeration Date | 09/11/2014 |
| Last Update Date | 04/13/2015 |
| Medicare PECOS PAC ID | 7214257609 |
|---|---|
| Medicare Enrollment ID | O20150527000677 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861893661 | NPI | - | NPPES |
| 1861893661 | Medicaid | ID |
| Provider Name | Catherine D Kraus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205025525 PECOS PAC ID: 9133302136 Enrollment ID: I20110329000817 |
| Provider Name | Deborah A Rush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518209196 PECOS PAC ID: 0840439972 Enrollment ID: I20130620000260 |
| Provider Name | Jacqueline Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437429222 PECOS PAC ID: 5597074872 Enrollment ID: I20151028000479 |
| Provider Name | Matthew Larson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982941027 PECOS PAC ID: 8123329661 Enrollment ID: I20151229000658 |
| Provider Name | Michael Cabahug Pahang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033592605 PECOS PAC ID: 3678842747 Enrollment ID: I20180103001724 |
| Provider Name | Gretchen Ruth Gayle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649757279 PECOS PAC ID: 5294074936 Enrollment ID: I20190225002029 |
| Provider Name | Melissa L Marquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083853477 PECOS PAC ID: 4789011891 Enrollment ID: I20200303000578 |
| Provider Name | Janet L Gilbreath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013024827 PECOS PAC ID: 6709883523 Enrollment ID: I20210217001474 |
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