| Teirza D Bristow, ARNP | |
|
100 Mckinley Ave, Kellogg, ID 83837-2502 | |
| (208) 667-2600 | |
| (208) 625-2051 |
| Full Name | Teirza D Bristow |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 100 Mckinley Ave, Kellogg, 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 |
|---|---|---|---|
| 1700363348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 59228 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Loving Care And More | Silverton, ID | Home health agency |
| Shoshone Medical Center | Kellogg, ID | Hospital |
| Kootenai Health | Coeur d'alene, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shoshone Medical Center | 6103739107 | 25 |
| Coeur D Alene Primary Care Pllc | 8729216171 | 8 |
| Entity Name | Coeur D Alene Primary Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922431360 PECOS PAC ID: 8729216171 Enrollment ID: O20140111000034 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |
Ms. Linda Josefine Yawn, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 107 Mckinley Ave, Kellogg, ID 83837 Phone: 208-783-0300 Fax: 208-783-0303 | |
Heidi Swift, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 740 Mckinley Ave W, Kellogg, ID 83837 Phone: 208-783-1267 Fax: 253-968-4573 |