Genevieve Marie Leetham, APRN in Mountain Home, ID

Genevieve Marie Leetham, APRN is a medicare enrolled "Nurse Practitioner - Family" in Mountain Home, Idaho. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Option Care Infusion Suites Llc and her current practice location is 2280 American Legion Blvd, Mountain Home, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 587-3988.

Genevieve Marie Leetham is licensed to practice in Idaho (license number NP-67308) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669027793.

Contact Information

	Genevieve Marie Leetham, APRN
	2280 American Legion Blvd, Mountain Home, ID 83647-3142
	(208) 587-3988
	(208) 587-3324

Map and Direction

Provider's Profile

Full Name	Genevieve Marie Leetham
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	2280 American Legion Blvd, Mountain Home, 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.

Medical Education and Training:

Genevieve Marie Leetham graduated from nursing school in 2019

NPI Data:

NPI Number: 1669027793
Provider Enumeration Date: 08/06/2019
Last Update Date: 07/27/2021

Medicare PECOS Information:

PECOS PAC ID: 5698171262
Enrollment ID: I20240717002614

Medical Identifiers

Medical identifiers for Genevieve Marie Leetham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669027793	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5905632-4405 (Utah)	Secondary
363LF0000X	Nurse Practitioner - Family	NP-67308 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Dixie Regional Medical Center	St george, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Option Care Infusion Suites Llc	5698179125	7

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Genevieve Marie Leetham allows following entities to bill medicare on her behalf.

Entity Name	Option Care Infusion Suites Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164194601 PECOS PAC ID: 5698179125 Enrollment ID: O20211122002842

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Genevieve Marie Leetham is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Genevieve Marie Leetham, APRN 2280 American Legion Blvd, Mountain Home, ID 83647-3142 Ph: (208) 587-3988	Genevieve Marie Leetham, APRN 2280 American Legion Blvd, Mountain Home, ID 83647-3142 Ph: (208) 587-3988

Reviews and Comments

Nurse Practitioner Nurses in Mountain Home, ID

Dawn D Best, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Desert Sage Way, Mountain Home, ID 83647 Phone: 208-587-3988 Fax: 208-587-3324
Charlene Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Desert Sage Way, Mountain Home, ID 83647 Phone: 208-587-3988 Fax: 208-587-3324
Vernon T Mullins, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 N 4th E, Mountain Home, ID 83647 Phone: 208-587-1850
Robin Amber Nettleton, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 840 N 4th E, Mountain Home, ID 83647 Phone: 208-587-1850 Fax: 208-587-1851
Linda G Shaw, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 805 N 6th E, Mountain Home, ID 83647 Phone: 208-587-5880 Fax: 208-587-7905
Mrs. Melanie Gilliland, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Desert Sage Way, Mountain Home, ID 83647 Phone: 208-587-3988 Fax: 208-587-3324

Genevieve Marie Leetham, APRN - Medicare Nurse Practitioner in Mountain Home, ID