| Joanna Peters, | |
|
100 Hospital Dr, Ketchum, ID 83340 | |
| (208) 726-5027 | |
| Not Available |
| Full Name | Joanna Peters |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 100 Hospital Dr, Ketchum, 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 |
|---|---|---|---|
| 1356885982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 54644 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Wood River Medical Center | Ketchum, ID | Hospital |
| St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic - Wood River Llc | 3173783818 | 58 |
| Entity Name | St Lukes Clinic - Wood River Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972891604 PECOS PAC ID: 3173783818 Enrollment ID: O20120404000474 |
| Mailing Address | Practice Location Address |
|---|---|
| Joanna Peters, Po Box 100, Ketchum, ID 83340-0100 Ph: () - | Joanna Peters, 100 Hospital Dr, Ketchum, ID 83340 Ph: (208) 726-5027 |
Julia Ann Watson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Drive, Suite 105, Ketchum, ID 83340 Phone: 208-622-8811 Fax: 208-622-6921 | |
Mrs. Kristen Pendola Allen, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 431 Walnut Ave N, Ketchum, ID 83340 Phone: 208-622-3180 | |
Mrs. Jenny Ann Stireman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr., Suite 200, Ketchum, ID 83340 Phone: 208-727-8600 Fax: 208-727-8601 | |
Sasha Sherylle Chavez, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Drive, Suites 107 And 201, Ketchum, ID 83340 Phone: 208-727-8888 Fax: 208-727-8889 |