| Ms Lacy Marie Engelstad, NP | |
|
1701 Lincoln Way, Coeur D Alene, ID 83814-2537 | |
| (208) 625-4950 | |
| (208) 625-4951 |
| Full Name | Ms Lacy Marie Engelstad |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 1701 Lincoln Way, 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 |
|---|---|---|---|
| 1427712181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 70390 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kootenai Health | Coeur d'alene, ID | Hospital |
| Benewah Community Hospital | St maries, ID | Hospital |
| Boundary Community Hospital | Bonners ferry, ID | Hospital |
| Shoshone Medical Center | Kellogg, ID | Hospital |
| Bonner General Hospital | Sandpoint, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beacon Cancer Care Pllc | 6901158773 | 12 |
| Entity Name | Kootenai Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235288655 PECOS PAC ID: 4789641598 Enrollment ID: O20041214000230 |
| Entity Name | Beacon Cancer Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407335367 PECOS PAC ID: 6901158773 Enrollment ID: O20181004002759 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lacy Marie Engelstad, NP 3815 N Schreiber Way Ste 101, Coeur D Alene, ID 83815-8362 Ph: (208) 758-0920 | Ms Lacy Marie Engelstad, NP 1701 Lincoln Way, Coeur D Alene, ID 83814-2537 Ph: (208) 625-4950 |
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 |