| Jessica Inez Gratzer, NP | |
|
801 Pole Line Rd W, Twin Falls, ID 83301-5810 | |
| (208) 814-2420 | |
| Not Available |
| Full Name | Jessica Inez Gratzer |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 801 Pole Line Rd W, Twin Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205498201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 61853 (Idaho) | Primary |
| Entity Name | St Lukes Clinic-treasure Valley LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Inez Gratzer, NP 184 W 200 N, Jerome, ID 83338-5232 Ph: (208) 539-9348 | Jessica Inez Gratzer, NP 801 Pole Line Rd W, Twin Falls, ID 83301-5810 Ph: (208) 814-2420 |
Madison Christine Campbell, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 N College Rd, Twin Falls, ID 83301 Phone: 208-814-9100 Fax: 208-814-9903 |
Janice Carter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2086 Addison Ave E, Twin Falls, ID 83301 Phone: 208-733-9697 Fax: 208-733-3197 |
Amy Lou Jensen, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1329 Park View Dr, Twin Falls, ID 83301 Phone: 208-738-7200 Fax: 208-277-3488 |
Lesley D. Goulding, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 302, Twin Falls, ID 83301 Phone: 208-814-8740 Fax: 208-814-8955 |
Mrs. Amanda Jo Prestigiacomo, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 N Haven Dr, Twin Falls, ID 83301 Phone: 208-904-4780 Fax: 208-904-4832 |
Jonathan Kurz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2167 Village Park Ave Ste 300, Twin Falls, ID 83301 Phone: 208-733-5117 |
Mrs. Raemi Dawn Nolevanko, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000 |