| Jamie Gudmunson, | |
|
30 W Main St, Saint Anthony, ID 83445-2113 | |
| (208) 624-2969 | |
| Not Available |
| Full Name | Jamie Gudmunson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 30 W Main St, Saint Anthony, 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 |
|---|---|---|---|
| 1669853719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP-1574A (Idaho) | Primary |
| Entity Name | Mountain View Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
| Entity Name | Teton Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154502615 PECOS PAC ID: 1759470172 Enrollment ID: O20071207000402 |
| Entity Name | Ashton Memorial Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003907163 PECOS PAC ID: 7719898873 Enrollment ID: O20080529000529 |
| Entity Name | Upper Valley Family Practice, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922237874 PECOS PAC ID: 1759433675 Enrollment ID: O20090723000252 |
| Entity Name | Community Care West Side Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295009785 PECOS PAC ID: 3678738218 Enrollment ID: O20120703000554 |
| Entity Name | Cc Pocatello Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538517156 PECOS PAC ID: 8527353176 Enrollment ID: O20160822003018 |
| Entity Name | Fremont Medical Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043931637 PECOS PAC ID: 4880062850 Enrollment ID: O20221122002944 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Gudmunson, 30 W Main St, Saint Anthony, ID 83445-2113 Ph: (208) 624-2969 | Jamie Gudmunson, 30 W Main St, Saint Anthony, ID 83445-2113 Ph: (208) 624-2969 |
Whittney Kay Miller, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 335 E Main St Ste 1, Saint Anthony, ID 83445 Phone: 208-356-4900 Fax: 208-624-4116 | |
Erin Joanne Benson, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 432 Juniper Ln, Saint Anthony, ID 83445 Phone: 208-221-4707 |