| Riverstone Billing Services Inc | |
|
6451 Mccall St # D Bonners Ferry ID 83805-8525 | |
| (208) 267-2070 | |
| (208) 267-3160 |
| Full Name | Riverstone Billing Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6451 Mccall St # D, Bonners Ferry, Idaho |
| Authorized Official Name and Position | Casady Brimhall (PRESIDENT) |
| Authorized Official Contact | 2082672070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverstone Billing Services Inc Po Box 3101 Bonners Ferry ID 83805-3101 Ph: (208) 267-2070 | Riverstone Billing Services Inc 6451 Mccall St # D Bonners Ferry ID 83805-8525 Ph: (208) 267-2070 |
| NPI Number | 1609498328 |
|---|---|
| Provider Enumeration Date | 05/15/2020 |
| Last Update Date | 07/17/2020 |
| Certification Date | 07/17/2020 |
| Medicare PECOS PAC ID | 4082744685 |
|---|---|
| Medicare Enrollment ID | O20201019002421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609498328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Carol Lucero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811172968 PECOS PAC ID: 4789853763 Enrollment ID: I20110808000868 |
| Provider Name | Kimberly Ruth Carey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073135851 PECOS PAC ID: 8628457751 Enrollment ID: I20220621002343 |
| Provider Name | Jeanne B Racer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245986264 PECOS PAC ID: 7810376670 Enrollment ID: I20220624000913 |
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