| Michelle Marie Pehrson, FNP-C | |
|
701 Dale Ave, Benton City, WA 99320-5250 | |
| (509) 588-4075 | |
| (509) 588-4197 |
| Full Name | Michelle Marie Pehrson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 701 Dale Ave, Benton City, Washington |
| 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 |
|---|---|---|---|
| 1619224896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP-1194A (Idaho) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP60513762 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Horizon Home Health | Meridian, ID | Home health agency |
| St Luke's Elmore Medical Center | Mountain home, ID | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic-treasure Valley Llc | 4981878402 | 1062 |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Marie Pehrson, FNP-C 723 Memorial Street, Prosser, WA 99350-1524 Ph: (509) 786-2222 | Michelle Marie Pehrson, FNP-C 701 Dale Ave, Benton City, WA 99320-5250 Ph: (509) 588-4075 |
Oscar Del Valle, MSN -FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Dale Ave, Benton City, WA 99320 Phone: 509-588-4075 | |
Ms. Toni Diane Microulis, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Dale Ave, Benton City, WA 99320 Phone: 509-588-4075 Fax: 509-588-4197 | |
Alejandra O Ramos, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 Dale Ave, Benton City, WA 99320 Phone: 509-588-4075 | |
Miss Jessica Luther, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 Dale Ave, Benton City, WA 99320 Phone: 509-588-4075 Fax: 509-588-4197 | |
Catherine Spomer, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Dale Ave, Benton City, WA 99320 Phone: 509-588-4075 |