| Mrs Rachel Janette Kallemeyn, FNP | |
|
7173 E Super 1 Loop Ste B, Athol, ID 83801-7109 | |
| (208) 561-9901 | |
| (208) 561-9968 |
| Full Name | Mrs Rachel Janette Kallemeyn |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 7173 E Super 1 Loop Ste B, Athol, 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 |
|---|---|---|---|
| 1235696287 | NPI | - | NPPES |
| 1235696287 | Medicaid | ID | |
| THP11576F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95011208 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 6361073 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwest Specialty Hospital | Post falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Idaho Day Surgery Llc | 0840101218 | 76 |
| Entity Name | North Idaho Day Surgery Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104824739 PECOS PAC ID: 0840101218 Enrollment ID: O20110401000539 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Rachel Janette Kallemeyn, FNP 1593 E Polston Ave, Post Falls, ID 83854-5326 Ph: (208) 262-2300 | Mrs Rachel Janette Kallemeyn, FNP 7173 E Super 1 Loop Ste B, Athol, ID 83801-7109 Ph: (208) 561-9901 |
Mrs. Holly Marie Heyne, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7173 E Super 1 Loop, Ste B, Athol, ID 83801 Phone: 208-561-9901 Fax: 208-561-9968 | |
Connie Marie Wilson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7173 E Super 1 Loop Ste B, Athol, ID 83801 Phone: 208-561-9901 Fax: 208-561-9968 |