| Crystal Marie Mcnally, | |
|
5089 Se 1 1/2 Ave, New Plymouth, ID 83655-5254 | |
| (986) 207-1720 | |
| (866) 531-4582 |
| Full Name | Crystal Marie Mcnally |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 5089 Se 1 1/2 Ave, New Plymouth, 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 |
|---|---|---|---|
| 1538775390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 55712 (Idaho) | Secondary |
| 363L00000X | Nurse Practitioner | 202008407NP-PP (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Alphonsus Home Health And Hospice | Boise, ID | Home health agency |
| Canyon Home Care & Hospice | Fruitland, ID | Home health agency |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dandg Medical Associates Pllc | 6709140510 | 14 |
| Entity Name | D&g Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669975900 PECOS PAC ID: 6709140510 Enrollment ID: O20200923000620 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Marie Mcnally, 5089 Se 1 1/2 Ave, New Plymouth, ID 83655-5254 Ph: (986) 207-1720 | Crystal Marie Mcnally, 5089 Se 1 1/2 Ave, New Plymouth, ID 83655-5254 Ph: (986) 207-1720 |
Marie Lynne Esplin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 N Plymouth Ave, New Plymouth, ID 83655 Phone: 208-278-3335 Fax: 208-278-3337 | |
Ms. Beverly A Schiffler, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 112 S Plymouth Ave, New Plymouth, ID 83655 Phone: 208-278-3406 Fax: 208-278-3418 |