| Susan Marguerite Owen, | |
|
2862 E Shadowview St, Eagle, ID 83616-5670 | |
| (208) 801-3728 | |
| Not Available |
| Full Name | Susan Marguerite Owen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 2862 E Shadowview St, Eagle, Idaho |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366317364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 72955 (Idaho) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5471685 (Idaho) | Primary |
| Entity Name | Pain Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740582303 PECOS PAC ID: 0941489819 Enrollment ID: O20110124001272 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Marguerite Owen, 2862 E Shadowview St, Eagle, ID 83616-5670 Ph: (208) 801-3728 | Susan Marguerite Owen, 2862 E Shadowview St, Eagle, ID 83616-5670 Ph: (208) 801-3728 |
Melanie Maltese, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 E Riverside Dr Ste 100, Eagle, ID 83616 Phone: 208-286-4205 |
Ms. Beth Elaine Landis, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1540 E Rivers End Ct, Eagle, ID 83616 Phone: 208-939-6030 |
Bethany Joy Mello, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 951 E Plaza Dr Ste 170, Eagle, ID 83616 Phone: 208-939-3505 |
Christopher Alan Anthony Nicholas, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3101 E State St, Eagle, ID 83616 Phone: 208-473-3100 |
Katherine Marie Buchanan, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 90 Cottonwood Ct Ste 100, Eagle, ID 83616 Phone: 208-914-6524 |
Jessica Watson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 S Linder Rd Apt O107, Eagle, ID 83616 Phone: 208-519-8520 |
Kylie J Rush, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 868 E Riverside Dr Ste 270, Eagle, ID 83616 Phone: 208-514-0670 Fax: 208-549-7880 |