| Jamie Kroesch Lidster, | |
|
2210 Encinitas Blvd Ste N, Encinitas, CA 92024-4376 | |
| (760) 230-1888 | |
| Not Available |
| Full Name | Jamie Kroesch Lidster |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2210 Encinitas Blvd Ste N, Encinitas, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538633219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95006076 (California) | Primary |
| Entity Name | Graybill Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891729745 PECOS PAC ID: 9335050517 Enrollment ID: O20040108000857 |
| Entity Name | Arch Health Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649500141 PECOS PAC ID: 9931239027 Enrollment ID: O20100616000715 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Kroesch Lidster, 3213 Avenida Hacienda, Escondido, CA 92029-7927 Ph: (760) 533-2739 | Jamie Kroesch Lidster, 2210 Encinitas Blvd Ste N, Encinitas, CA 92024-4376 Ph: (760) 230-1888 |
Mary Ann Cathey, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 477 N El Camino Real, Suite A, Encinitas, CA 92024 Phone: 760-943-9111 Fax: 760-943-0180 |
Mrs. Lisa Ellen Sorensen, FNP, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 700 Garden View Ct, Suite 102, Encinitas, CA 92024 Phone: 760-436-8881 |
Carise Heather Edwards, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 326 Santa Fe Dr Fl 3, Encinitas, CA 92024 Phone: 760-633-7275 |
Ms. Anne Louise Burns, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 320 Santa Fe Dr, Suite 204, Encinitas, CA 92024 Phone: 760-944-7300 Fax: 760-633-3949 |
Mrs. Christine Danel Burman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 326 Santa Fe Dr, Encinitas, CA 92024 Phone: 760-633-7240 Fax: 760-633-6921 |
Mary Judith Gardner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 519 Encinitas Blvd Ste 106, Encinitas, CA 92024 Phone: 619-703-7220 Fax: 619-703-7221 |
Andrea Debenedictis, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 354 Santa Fe Dr, Encinitas, CA 92024 Phone: 858-208-9731 |