Teirza D Bristow, ARNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Kellogg, Idaho. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Shoshone Medical Center, Coeur D Alene Primary Care Pllc and her current practice location is
100 Mckinley Ave, Kellogg, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 667-2600.
Teirza D Bristow is licensed to practice in Idaho (license number 59228) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700363348.
Provider's Profile
| Full Name | Teirza D Bristow |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 100 Mckinley Ave, Kellogg, Idaho |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Teirza D Bristow graduated from nursing school in 2018
NPI Data:
- NPI Number: 1700363348
- Provider Enumeration Date: 07/26/2018
- Last Update Date: 04/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 7315290830
- Enrollment ID: I20181031001602
Medical Identifiers
Medical identifiers for Teirza D Bristow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700363348 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP2300X | Nurse Practitioner - Primary Care | 59228 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Shoshone Medical Center | 6103739107 | 25 |
| Coeur D Alene Primary Care Pllc | 8729216171 | 8 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Teirza D Bristow allows following entities to bill medicare on her behalf.
| Entity Name | Coeur D Alene Primary Care Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922431360
PECOS PAC ID: 8729216171
Enrollment ID: O20140111000034 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Teirza D Bristow is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Teirza D Bristow, ARNP
613 Mckinley Ave,
Kellogg, ID 83837-2520
Ph: () - | Teirza D Bristow, ARNP
100 Mckinley Ave,
Kellogg, ID 83837-2502
Ph: (208) 667-2600 |
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