| Johary Rodriguez, NURSE PRACTITIONER | |
|
1441 Ne 10th Ave, Payette, ID 83661-5420 | |
| (208) 642-3937 | |
| (208) 642-9598 |
| Full Name | Johary Rodriguez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1441 Ne 10th Ave, Payette, 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 |
|---|---|---|---|
| 1770954398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 9325608 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 56903 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kootenai Health Inc | 1355792276 | 382 |
| Options For Southern Oregon | 0941202006 | 56 |
| Forefront-rosenzweig Medical Services Professional Corporation | 1052697455 | 20 |
| Forefront-rosenzweig Medical Services Professional Corporation | 1052697455 | 20 |
| Entity Name | Valley Family Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407886484 PECOS PAC ID: 0547169591 Enrollment ID: O20040108000205 |
| Entity Name | Forefront Telecare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174035612 PECOS PAC ID: 9638319114 Enrollment ID: O20210114002329 |
| Entity Name | Access Telecare Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013303080 PECOS PAC ID: 7810204831 Enrollment ID: O20210902001968 |
| Entity Name | Kootenai Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252 |
| Mailing Address | Practice Location Address |
|---|---|
| Johary Rodriguez, NURSE PRACTITIONER 1441 Ne 10th Ave, Payette, ID 83661-5420 Ph: (208) 642-3937 | Johary Rodriguez, NURSE PRACTITIONER 1441 Ne 10th Ave, Payette, ID 83661-5420 Ph: (208) 642-3937 |
Alisha Lorraine Phillips, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 823 Center Ave, Payette, ID 83661 Phone: 208-642-3396 Fax: 208-642-9060 | |
Marcia Strahn, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1441 Ne 10th Ave, Payette, ID 83661 Phone: 208-642-9376 Fax: 208-642-9598 | |
Andrew Silsby, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1441 Ne 10th Ave, Payette, ID 83661 Phone: 208-642-9376 | |
Rebecca Hammon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1441 Ne 10th Ave, Payette, ID 83661 Phone: 208-642-9376 | |
Jennifer Marie Beaulieu, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1441 Ne 10th Ave, Payette, ID 83661 Phone: 208-642-9376 Fax: 208-642-9598 | |
Janice Pasqualin, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11771 N River Rd, Payette, ID 83661 Phone: 810-265-8661 | |
Rina Giudicelli, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1441 Ne 10th Ave, Payette, ID 83661 Phone: 208-642-9376 Fax: 208-642-9598 |