| Megan Lynn Gully, NP | |
|
2550 Addison Ave E Ste A, Twin Falls, ID 83301-6748 | |
| (208) 814-8000 | |
| Not Available |
| Full Name | Megan Lynn Gully |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2550 Addison Ave E Ste A, Twin Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952023905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 73596 (Idaho) | Primary |
| Entity Name | St Lukes Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
| Mailing Address | Practice Location Address |
|---|---|
| Megan Lynn Gully, NP 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Megan Lynn Gully, NP 2550 Addison Ave E Ste A, Twin Falls, ID 83301-6748 Ph: (208) 814-8000 |
Madison Christine Campbell, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 815 N College Rd, Twin Falls, ID 83301 Phone: 208-814-9100 Fax: 208-814-9903 | |
Janice Carter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2086 Addison Ave E, Twin Falls, ID 83301 Phone: 208-733-9697 Fax: 208-733-3197 | |
Amy Lou Jensen, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1880 Fillmore St, Twin Falls, ID 83301 Phone: 208-735-8386 Fax: 208-735-0434 | |
Lesley D. Goulding, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 302, Twin Falls, ID 83301 Phone: 208-814-8740 Fax: 208-814-8955 | |
Mrs. Amanda Jo Prestigiacomo, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 N Haven Dr, Twin Falls, ID 83301 Phone: 208-904-4780 Fax: 208-904-4832 | |
Mrs. Raemi Dawn Nolevanko, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000 | |
Reatta Omoth, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2550 Addison Ave E Ste E, Twin Falls, ID 83301 Phone: 208-814-7780 Fax: 208-814-7746 |