| Mrs Debra Lynn Rodriguez, CNS | |
|
777 Hospital Way, Pocatello, ID 83201-5162 | |
| (208) 239-1000 | |
| Not Available |
| Full Name | Mrs Debra Lynn Rodriguez |
|---|---|
| Gender | Female |
| Speciality | Certified Clinical Nurse Specialist (cns) |
| Experience | 16 Years |
| Location | 777 Hospital Way, Pocatello, 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 |
|---|---|---|---|
| 1275836157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SA2200X | Clinical Nurse Specialist - Adult Health | CNS 49A (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Portneuf Medical Center | Pocatello, ID | Hospital |
| Caribou Memorial Hospital | Soda springs, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pocatello Health Services Llc | 6608927637 | 154 |
| Entity Name | Pocatello Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689802852 PECOS PAC ID: 6608927637 Enrollment ID: O20090701000646 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Debra Lynn Rodriguez, CNS 541 S 10th Ave, Pocatello, ID 83201-4856 Ph: (208) 251-1262 | Mrs Debra Lynn Rodriguez, CNS 777 Hospital Way, Pocatello, ID 83201-5162 Ph: (208) 239-1000 |
Dr. Vernon Robert Kubiak, APRN, CNS, CNP Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 1070 Hiline Rd, Suite 210, Pocatello, ID 83201 Phone: 208-478-9081 Fax: 208-478-4999 | |
Kathy D Archibald, GCNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 2302 E Terry St, Pocatello, ID 83201 Phone: 208-235-5910 Fax: 208-235-5920 | |
Cynthia Love Barron, CNS Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 777 Hospital Way Bldg A, 101, Pocatello, ID 83201 Phone: 208-234-2001 Fax: 208-232-2195 |