| Trevor Spence, NP-C | |
|
206 E Elm St, Caldwell, ID 83605-4815 | |
| (208) 459-4511 | |
| Not Available |
| Full Name | Trevor Spence |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 206 E Elm St, Caldwell, 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 |
|---|---|---|---|
| 1669063384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95016395 (California) | Secondary |
| 363L00000X | Nurse Practitioner | 53451 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Direct Orthopedic Care Llc | 2163648155 | 28 |
| St Lukes Clinic-treasure Valley Llc | 4981878402 | 1062 |
| Entity Name | Orthopedic & Fracture Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184739351 PECOS PAC ID: 7810800398 Enrollment ID: O20031111000145 |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Entity Name | Direct Orthopedic Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356769434 PECOS PAC ID: 2163648155 Enrollment ID: O20140729000161 |
| Mailing Address | Practice Location Address |
|---|---|
| Trevor Spence, NP-C 206 E Elm St, Caldwell, ID 83605-4815 Ph: (208) 459-4511 | Trevor Spence, NP-C 206 E Elm St, Caldwell, ID 83605-4815 Ph: (208) 459-4511 |
Mark Berger, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 E Elm St # 201, Caldwell, ID 83605 Phone: 208-514-2528 Fax: 208-375-2217 | |
Cynthia Jane Floyd, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15076 Plum Rd, Caldwell, ID 83607 Phone: 208-830-5560 | |
Ashley Fae White, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 Arlington Ave, Caldwell, ID 83605 Phone: 208-459-4641 | |
Virginia Holmgren, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 808 Cleveland Blvd, Caldwell, ID 83605 Phone: 208-459-1025 Fax: 208-466-5359 | |
Mrs. Deborah Lee Sullivan, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 211 E Logan St, Suite 105, Caldwell, ID 83605 Phone: 208-454-0567 Fax: 208-402-6635 | |
Lynette Joy Ages, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1818 S 10th Ave Ste 200, Caldwell, ID 83605 Phone: 208-453-6417 Fax: 208-453-6419 | |
Robert Slade Thacker, APRN CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 712 Aviation Way, Caldwell, ID 83605 Phone: 208-302-7100 Fax: 208-302-7155 |