| Anne B Fullmer, FNP | |
|
709 N Lincoln Ave, Jerome, ID 83338-1851 | |
| (208) 814-9772 | |
| Not Available |
| Full Name | Anne B Fullmer |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 709 N Lincoln Ave, Jerome, 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 |
|---|---|---|---|
| 1891165569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | N-38467 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Heritage Home Health | Pocatello, ID | Home health agency |
| Heritage Hospice | Pocatello, ID | Hospice |
| St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
| St Luke's Jerome | Jerome, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic Llc | 1052217478 | 294 |
| Entity Name | St Lukes Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
| Mailing Address | Practice Location Address |
|---|---|
| Anne B Fullmer, FNP 709 N Lincoln Ave, Jerome, ID 83338-1851 Ph: (208) 814-9772 | Anne B Fullmer, FNP 709 N Lincoln Ave, Jerome, ID 83338-1851 Ph: (208) 814-9772 |
Tara Jaye Hoskovec, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 239 Honeysuckle Ln, Jerome, ID 83338 Phone: 208-308-3758 | |
Toni R Miller, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 218 W Nez Perce, Jerome, ID 83338 Phone: 208-324-3471 Fax: 208-324-9191 | |
Alice R. Trabert, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 5th Ave W, Suite 1, Jerome, ID 83338 Phone: 208-814-9800 Fax: 208-814-9833 | |
Robin Louise Schmidt, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 5th Ave W Ste 1and2, Jerome, ID 83338 Phone: 208-814-9800 | |
Jennifer Parsons, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1410 S Lincoln Ave Ste G, Jerome, ID 83338 Phone: 208-886-0081 Fax: 208-203-9062 |