| Thor Hauff, FNP-C | |
|
4971 W Overland Rd, Boise, ID 83705-2822 | |
| (208) 472-5050 | |
| (208) 472-5051 |
| Full Name | Thor Hauff |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 4971 W Overland Rd, Boise, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336378124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1160A (Idaho) | Primary |
| 363LF0000X | Nurse Practitioner - Family | N-26795 (Idaho) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alliance Medical Group Llc | 3971544685 | 115 |
| Entity Name | Alliance Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568413920 PECOS PAC ID: 3971544685 Enrollment ID: O20050512000561 |
| Mailing Address | Practice Location Address |
|---|---|
| Thor Hauff, FNP-C Po Box 191050, Boise, ID 83719-1050 Ph: (208) 955-6500 | Thor Hauff, FNP-C 4971 W Overland Rd, Boise, ID 83705-2822 Ph: (208) 472-5050 |
Nora M Suarez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 | |
Elizabeth Hingley, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 460 W Sandstone Ct, Boise, ID 83702 Phone: 662-889-0513 Fax: 863-228-8587 | |
Dr. Nancy Jane L'heureux, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6259 W Emerald St, Boise, ID 83704 Phone: 208-489-1900 Fax: 208-375-5286 | |
Jennifer Woodburn, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-5015 | |
Carl Ciplinski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10583 W Lake Hazel Rd, Boise, ID 83709 Phone: 208-302-5950 | |
Kathryn Laura Cnossen, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8000 S Federal Way, Boise, ID 83716 Phone: 208-368-2109 | |
Mrs. Chelsea Rose Wallace, RN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9976 W Emerald St, Boise, ID 83704 Phone: 208-229-3742 |