| Marie A Hawkins, PMHNP | |
|
5985 W State St, Boise, ID 83703-3039 | |
| (208) 853-0071 | |
| (208) 853-9422 |
| Full Name | Marie A Hawkins |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 5985 W State St, Boise, 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 |
|---|---|---|---|
| 1619220621 | NPI | - | NPPES |
| CS20682 | Other | ID | CONTROLLED SUBSTANCE |
| 1619220621 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | NP1240A (Idaho) | Primary |
| 163W00000X | Registered Nurse | N20025 (Idaho) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dhs Office Of Financial Services Irs Eopc Bmrc Eotc Osh Osh-p | 0547170383 | 46 |
| Entity Name | Dhs/office Of Financial Services Irs/eopc/bmrc/eotc/osh/osh-p |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508802489 PECOS PAC ID: 0547170383 Enrollment ID: O20040130000453 |
| Mailing Address | Practice Location Address |
|---|---|
| Marie A Hawkins, PMHNP 5985 W State St, Boise, ID 83703-3039 Ph: (208) 853-0071 | Marie A Hawkins, PMHNP 5985 W State St, Boise, ID 83703-3039 Ph: (208) 853-0071 |
Nora M Suarez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 | |
Elizabeth Hingley, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 460 W Sandstone Ct, Boise, ID 83702 Phone: 662-889-0513 Fax: 863-228-8587 | |
Dr. Nancy Jane L'heureux, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6259 W Emerald St, Boise, ID 83704 Phone: 208-489-1900 Fax: 208-375-5286 | |
Jennifer Woodburn, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-5015 | |
Carl Ciplinski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10583 W Lake Hazel Rd, Boise, ID 83709 Phone: 208-302-5950 | |
Kathryn Laura Cnossen, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8000 S Federal Way, Boise, ID 83716 Phone: 208-368-2109 | |
Mrs. Chelsea Rose Wallace, RN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9976 W Emerald St, Boise, ID 83704 Phone: 208-229-3742 |