| Patricia Conner, | |
|
300 S 3rd W, Soda Springs, ID 83276-1559 | |
| (208) 547-0438 | |
| (208) 547-2798 |
| Full Name | Patricia Conner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 300 S 3rd W, Soda Springs, 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 |
|---|---|---|---|
| 1982269973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 61194 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Caribou Memorial Hospital | Soda springs, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Caribou Memorial Hospital | 6103734777 | 15 |
| Caribou Medical Center, Inc | 7618365701 | 34 |
| 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 |
|---|---|
| Patricia Conner, 300 S 3rd W, Soda Springs, ID 83276-1559 Ph: (208) 547-3341 | Patricia Conner, 300 S 3rd W, Soda Springs, ID 83276-1559 Ph: (208) 547-0438 |
Aaron Christopher Hobbs, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S 3rd W, Soda Springs, ID 83276 Phone: 208-547-0438 Fax: 208-547-2798 | |
Hunter Anthony Goodenough, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S 3rd W, Soda Springs, ID 83276 Phone: 208-547-3341 | |
Connor Torman, PMH-NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 S 3rd W, Soda Springs, ID 83276 Phone: 208-547-3341 Fax: 208-547-2790 |