| Penny R Buckland, | |
|
8050 W Rifleman St, Boise, ID 83704-9004 | |
| (877) 522-1275 | |
| (833) 888-7145 |
| Full Name | Penny R Buckland |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 8050 W Rifleman St, Boise, 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 |
|---|---|---|---|
| 1194129411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | NP1459A (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ideal Telemedicine Services Llc | 2860726221 | 58 |
| Ideal Option Pllc | 6709013105 | 94 |
| Ideal Telemedicine Services Llc | 2860726221 | 58 |
| Ideal Option Pllc | 6709013105 | 94 |
| Ideal Telemedicine Services Llc | 2860726221 | 58 |
| Ideal Option Pllc | 6709013105 | 94 |
| Ideal Option Pllc | 6709013105 | 94 |
| Ideal Telemedicine Services Llc | 2860726221 | 58 |
| Ideal Option Pllc | 6709013105 | 94 |
| Entity Name | Ideal Option Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457788275 PECOS PAC ID: 6709013105 Enrollment ID: O20170112000521 |
| Entity Name | Ideal Telemedicine Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346754868 PECOS PAC ID: 2860726221 Enrollment ID: O20190716002529 |
| Mailing Address | Practice Location Address |
|---|---|
| Penny R Buckland, 500 Sw 7th St Ste A205, Renton, WA 98057-2983 Ph: (877) 522-1275 | Penny R Buckland, 8050 W Rifleman St, Boise, ID 83704-9004 Ph: (877) 522-1275 |
Nora M Suarez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 | |
Elizabeth Hingley, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 460 W Sandstone Ct, Boise, ID 83702 Phone: 662-889-0513 Fax: 863-228-8587 | |
Dr. Nancy Jane L'heureux, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6259 W Emerald St, Boise, ID 83704 Phone: 208-489-1900 Fax: 208-375-5286 | |
Jennifer Woodburn, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-5015 | |
Carl Ciplinski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10583 W Lake Hazel Rd, Boise, ID 83709 Phone: 208-302-5950 | |
Kathryn Laura Cnossen, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8000 S Federal Way, Boise, ID 83716 Phone: 208-368-2109 | |
Mrs. Chelsea Rose Wallace, RN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9976 W Emerald St, Boise, ID 83704 Phone: 208-229-3742 |