| Taresa Lynn Michna, NP | |
|
701 Lewiston St, Cottonwood, ID 83522-9750 | |
| (208) 962-3251 | |
| (208) 962-2313 |
| Full Name | Taresa Lynn Michna |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 701 Lewiston St, Cottonwood, 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 |
|---|---|---|---|
| 1467901330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP54185 (Idaho) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 54185 (Idaho) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Marys Hospital And Clinics | Cottonwood, ID | Hospital |
| St Joseph Regional Medical Center | Lewiston, ID | Hospital |
| Clearwater Valley Hospital & Clinics | Orofino, ID | Hospital |
| Syringa General Hospital | Grangeville, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Mary's Hospital, Inc. | 5092773168 | 13 |
| Entity Name | Clearwater Valley Hospital & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073551396 PECOS PAC ID: 0547173346 Enrollment ID: O20031117000264 |
| Entity Name | St. Mary's Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841292307 PECOS PAC ID: 5092773168 Enrollment ID: O20050316000814 |
| Mailing Address | Practice Location Address |
|---|---|
| Taresa Lynn Michna, NP 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 962-3251 | Taresa Lynn Michna, NP 701 Lewiston St, Cottonwood, ID 83522-9750 Ph: (208) 962-3251 |
Margaret A Gehring, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Lewiston Street, Cottonwood, ID 83522 Phone: 208-962-3267 Fax: 208-962-2313 | |
Scarlett Jo Uhlenkott, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Lewiston Street, Cottonwood, ID 83522 Phone: 208-962-3267 | |
Briana Sarah Bowden, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Lewiston St, Cottonwood, ID 83522 Phone: 208-962-3267 Fax: 208-962-2313 | |
Megan E Wilson, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Lewiston St, Cottonwood, ID 83522 Phone: 208-962-3267 Fax: 208-962-2313 | |
Mrs. Brenda Kay Hagemann, MSN, APRN, BC FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 Lewiston St, Cottonwood, ID 83522 Phone: 208-962-3267 Fax: 208-962-2313 |