| Todd M Carpenter, NP | |
|
1268 Bridge St, Clarkston, WA 99403-2219 | |
| (509) 758-9524 | |
| (509) 758-8258 |
| Full Name | Todd M Carpenter |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 1268 Bridge St, Clarkston, Washington |
| 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 |
|---|---|---|---|
| 1255629267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | NP-1086A (Idaho) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP60241846 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tri-state Memorial Hospital | Clarkston, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carpenter Health Pllc | 6709241383 | 2 |
| Carpenter Health Pllc | 6709241383 | 2 |
| Entity Name | Carpenter Health Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427776319 PECOS PAC ID: 6709241383 Enrollment ID: O20241216002205 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd M Carpenter, NP 1268 Bridge St, Clarkston, WA 99403-2219 Ph: (509) 758-9524 | Todd M Carpenter, NP 1268 Bridge St, Clarkston, WA 99403-2219 Ph: (509) 758-9524 |
Jennifer Lynn Nicholas, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1433 5th St, Clarkston, WA 99403 Phone: 509-758-5141 Fax: 509-758-5299 | |
Brandon Lane Whitlock, AG-ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1119 Highland Ave Ste 7, Clarkston, WA 99403 Phone: 509-758-1119 | |
Laure M Larsen, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1119 Highland Ave, Clarkston, WA 99403 Phone: 509-780-4450 Fax: 509-758-3700 | |
Brian Francis Ciezki, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1625 5th St, Clarkston, WA 99403 Phone: 509-295-8398 Fax: 509-295-8416 | |
Angel D Klippenstein, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 Port Dr, Clarkston, WA 99403 Phone: 208-298-0720 Fax: 208-298-0727 | |
Charmaine R Allen-johnson, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 619 Diagonal St, Clarkston, WA 99403 Phone: 509-758-9003 Fax: 509-758-9001 |