| Justin Gregory Merzlock, FNP | |
|
4511 Zebe Ave, Chubbuck, ID 83202-4707 | |
| (208) 904-4780 | |
| (208) 904-4832 |
| Full Name | Justin Gregory Merzlock |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 4511 Zebe Ave, Chubbuck, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013668847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71322 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Portneuf Medical Center | Pocatello, ID | Hospital |
| Power County Hospital District | American falls, ID | Hospital |
| Caribou Memorial Hospital | Soda springs, ID | Hospital |
| Bingham Memorial Hospital | Blackfoot, ID | Hospital |
| Nell J Redfield Memorial Hospital | Malad, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Idaho Kidney Institute Llp | 9032155312 | 14 |
| Entity Name | Idaho Kidney Institute Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013064690 PECOS PAC ID: 9032155312 Enrollment ID: O20050708000247 |
| Entity Name | Bmh Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255539193 PECOS PAC ID: 8426149758 Enrollment ID: O20071018000897 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Gregory Merzlock, FNP 14926 W Brandy Ln, Pocatello, ID 83202-5345 Ph: (208) 251-5027 | Justin Gregory Merzlock, FNP 4511 Zebe Ave, Chubbuck, ID 83202-4707 Ph: (208) 904-4780 |
Dr. Scott Robert Barlow, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 476 E Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-233-9898 Fax: 208-232-8566 | |
Patricia Stadler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 570 Redman St, Chubbuck, ID 83202 Phone: 602-703-4196 | |
Heidi Winder, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 476 E Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-233-9898 Fax: 208-232-8566 | |
Margo Northrup, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4650 Hawthorne Rd Ste 3b, Chubbuck, ID 83202 Phone: 208-252-5621 Fax: 208-648-4167 | |
Hyrum Davenport, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4650 Hawthorne Rd Ste 3b, Chubbuck, ID 83202 Phone: 208-252-5621 Fax: 208-648-4167 | |
Brandon Smith, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5067 Camden St, Chubbuck, ID 83202 Phone: 208-840-0044 |