| Graham Charles Andrews, | |
|
400 Schweitzer Plaza Dr Ste 1, Ponderay, ID 83852-9819 | |
| (208) 263-0649 | |
| Not Available |
| Full Name | Graham Charles Andrews |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 400 Schweitzer Plaza Dr Ste 1, Ponderay, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932758083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 62286 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bonner General Hospital | Sandpoint, ID | Hospital |
| Boundary Community Hospital | Bonners ferry, ID | Hospital |
| Newport Community Hospital | Newport, WA | Hospital |
| Kootenai Health | Coeur d'alene, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Idaho Pain Clinic Pllc | 3274712609 | 10 |
| Entity Name | Bonner General Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154563963 PECOS PAC ID: 4082690466 Enrollment ID: O20040626000014 |
| Entity Name | Idaho Pain Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417267329 PECOS PAC ID: 3274712609 Enrollment ID: O20110131000990 |
| Mailing Address | Practice Location Address |
|---|---|
| Graham Charles Andrews, 9408 N Prince William Loop, Hayden, ID 83835-0048 Ph: (208) 290-6147 | Graham Charles Andrews, 400 Schweitzer Plaza Dr Ste 1, Ponderay, ID 83852-9819 Ph: (208) 263-0649 |
Kathy Gavin, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30410 Highway 200, Ponderay, ID 83852 Phone: 208-263-1345 Fax: 208-255-5531 |