| Susan Christine Smith, RN | |
|
607 W Main St, Grangeville, ID 83530-1345 | |
| (208) 983-9590 | |
| Not Available |
| Full Name | Susan Christine Smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 607 W Main St, Grangeville, 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 |
|---|---|---|---|
| 1306460852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WM0705X | Registered Nurse - Medical-surgical | 34969 (Idaho) | Secondary |
| 363L00000X | Nurse Practitioner | 66063 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Syringa General Hospital | Grangeville, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Syringa General Hospital District C I F | 6800707530 | 18 |
| Entity Name | Tri-state Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598814352 PECOS PAC ID: 4082502422 Enrollment ID: O20040308001123 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Christine Smith, RN 607 W Main St, Grangeville, ID 83530-1345 Ph: (208) 983-8590 | Susan Christine Smith, RN 607 W Main St, Grangeville, ID 83530-1345 Ph: (208) 983-9590 |
Teresa Lynn Soderling, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 607 W Main St, Grangeville, ID 83530 Phone: 208-983-8590 | |
Ms. Katrina K Bentley, PHD, CNS, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 365 Center Road, Grangeville, ID 83530 Phone: 208-983-5535 Fax: 208-983-5575 | |
Mrs. Lynnda Lee Macmillan, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 607 W Main St, Grangeville, ID 83530 Phone: 208-983-1700 | |
William Mark Imus Jr., FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 610 Nw 2nd St, Grangeville, ID 83530 Phone: 208-983-5120 Fax: 208-983-5404 |