| Amanda J Allaire, NP | |
|
1450 Aviation Dr, Hailey, ID 83333-8785 | |
| (208) 727-8899 | |
| Not Available |
| Full Name | Amanda J Allaire |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 1450 Aviation Dr, Hailey, 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 |
|---|---|---|---|
| 1407190671 | NPI | - | NPPES |
| 2012001190 | Other | WI | ANCC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 1618A (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Wood River Medical Center | Ketchum, ID | Hospital |
| St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic - Wood River Llc | 3173783818 | 58 |
| Entity Name | St Lukes Clinic - Wood River Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972891604 PECOS PAC ID: 3173783818 Enrollment ID: O20120404000474 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda J Allaire, NP 310 Willoway Rd, Hailey, ID 83333-4970 Ph: (208) 309-0370 | Amanda J Allaire, NP 1450 Aviation Dr, Hailey, ID 83333-8785 Ph: (208) 727-8899 |
Carol A Wade, R.N.,C.S.,F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21 E Maple St, Suite A, Hailey, ID 83333 Phone: 208-788-3200 Fax: 208-788-3386 | |
Ms. Ann Enderle, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1450 Aviation Dr Ste 100, Hailey, ID 83333 Phone: 208-788-3434 | |
Debbie M Garratt, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 706 S Main St, Hailey, ID 83333 Phone: 208-788-3434 Fax: 208-788-2025 |