Holly Beth Pena, ARNP | |
750 N Syringa St Ste 206b, Post Falls, ID 83854-5275 | |
(208) 262-2439 | |
(208) 508-2259 |
Full Name | Holly Beth Pena |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 20 Years |
Location | 750 N Syringa St Ste 206b, Post Falls, 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 |
---|---|---|---|
1548253867 | NPI | - | NPPES |
1548253867 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP30007003 (Washington) | Secondary |
363L00000X | Nurse Practitioner | NP-690A (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwest Specialty Hospital | Post falls, ID | Hospital |
Bonner General Hospital | Sandpoint, ID | Hospital |
Gritman Medical Center | Moscow, ID | Hospital |
Kootenai Health | Coeur d'alene, ID | Hospital |
Shoshone Medical Center | Kellogg, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Idaho Day Surgery Llc | 0840101218 | 74 |
Entity Name | Prairie Family Medicine Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346444007 PECOS PAC ID: 5597851675 Enrollment ID: O20071020000077 |
Entity Name | North Idaho Day Surgery Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104824739 PECOS PAC ID: 0840101218 Enrollment ID: O20110401000539 |
Mailing Address | Practice Location Address |
---|---|
Holly Beth Pena, ARNP 1593 E Polston Ave, Post Falls, ID 83854-5326 Ph: (208) 262-2498 | Holly Beth Pena, ARNP 750 N Syringa St Ste 206b, Post Falls, ID 83854-5275 Ph: (208) 262-2439 |
Catherine M Woodland, CNM, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 925 E Polston Ave, Post Falls, ID 83854 Phone: 208-618-0787 Fax: 844-807-3782 | |
Michael Eugene Wigle, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 925 E Polston Ave, Post Falls, ID 83854 Phone: 208-618-0787 Fax: 208-618-0796 | |
Sydney Elizabeth Disselkamp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 E Mullan Ave, Bldg A Ste 200b, Post Falls, ID 83854 Phone: 208-262-2213 Fax: 208-262-2214 | |
Mr. Gary Arthur Hurst, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1641 E Polston Ave Ste 101, Post Falls, ID 83854 Phone: 208-457-4208 Fax: 208-457-4197 | |
Katiuska A Vestman, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4225 E Poleline Ave Apt 206, Post Falls, ID 83854 Phone: 208-518-8111 | |
Hollys J Nielsen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 750 N Syringa St Ste 100, Post Falls, ID 83854 Phone: 208-262-2600 Fax: 208-262-2700 | |
Mrs. Shauna A Spellman, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1220 E Polston Ave, Post Falls, ID 83854 Phone: 208-273-1577 Fax: 208-773-8585 |