| Julie Kathleen Mccardell, NURSE PRACTITIONER | |
|
1700 W Riverstone Dr, Coeur D Alene, ID 83814-5683 | |
| (208) 770-2822 | |
| (208) 770-2911 |
| Full Name | Julie Kathleen Mccardell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 28 Years |
| Location | 1700 W Riverstone Dr, Coeur D Alene, 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 |
|---|---|---|---|
| 1255312989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP61232280 (Washington) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 62943 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kootenai Health | Coeur d'alene, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain West Derm - Blackhart Pllc | 1153609813 | 100 |
| Mountain West Derm - Blackhart Pllc | 1153609813 | 100 |
| Entity Name | Spokane Dermatology Clinic Ps |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649367889 PECOS PAC ID: 9931098357 Enrollment ID: O20040313000200 |
| Entity Name | Mountain West Derm - Blackhart Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013557933 PECOS PAC ID: 1153609813 Enrollment ID: O20200904001722 |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Kathleen Mccardell, NURSE PRACTITIONER 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 Ph: (509) 456-7414 | Julie Kathleen Mccardell, NURSE PRACTITIONER 1700 W Riverstone Dr, Coeur D Alene, ID 83814-5683 Ph: (208) 770-2822 |
Deborah Magnuson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1090 W Park Pl, Coeur D Alene, ID 83814 Phone: 208-215-2005 Fax: 844-807-3782 | |
Ms. Jayne S Shoda, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1983 E Lookout Dr, Coeur D Alene, ID 83815 Phone: 208-964-0701 | |
Mary Sandra Duff, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 W Ironwood Dr, Coeur D Alene, ID 83814 Phone: 208-667-4557 Fax: 208-765-2887 | |
Sydney Elizabeth Disselkamp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 378, Coeur D Alene, ID 83814 Phone: 208-625-3555 Fax: 208-769-8616 | |
Ms. Kristina Marie Follger, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 980 W Ironwood Dr Ste 302, Coeur D Alene, ID 83814 Phone: 208-292-5437 Fax: 208-292-5441 | |
Jared Edward Bruder, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1110 W Park Pl Ste 320, Coeur D Alene, ID 83814 Phone: 208-261-2255 | |
Robin Marie Beard, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 120, Coeur D Alene, ID 83814 Phone: 208-625-3640 Fax: 208-625-3645 |