| Ty Alan Cottle, PMHNP-BC | |
|
711 Rigby Lake Dr Ste 102, Rigby, ID 83442-5230 | |
| (208) 973-9413 | |
| (208) 216-0228 |
| Full Name | Ty Alan Cottle |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 711 Rigby Lake Dr Ste 102, Rigby, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871304238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1471648 (Idaho) | Primary |
| Entity Name | Spring Creek Mental Health Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154135465 PECOS PAC ID: 2769904374 Enrollment ID: O20250324000954 |
| Mailing Address | Practice Location Address |
|---|---|
| Ty Alan Cottle, PMHNP-BC Po Box 321, Lewisville, ID 83431-0321 Ph: (208) 973-9413 | Ty Alan Cottle, PMHNP-BC 711 Rigby Lake Dr Ste 102, Rigby, ID 83442-5230 Ph: (208) 973-9413 |
Jenni Lee Borg, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 167 E 1st S, Rigby, ID 83442 Phone: 208-745-8747 | |
Alison Noel Thompson, FNP-B Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 385 Estella Ave, Rigby, ID 83442 Phone: 208-201-3902 | |
Leigh Short, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 195 N 4242 E, Rigby, ID 83442 Phone: 208-697-7115 | |
Hailey Anne Clark, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 167 E 1st S, Rigby, ID 83442 Phone: 208-745-8747 | |
Dr. Hayden Beard, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 359 N 3rd W Apt 401, Rigby, ID 83442 Phone: 208-243-7525 | |
Spencer Stanger, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 711 Rigby Lake Dr Ste 115, Rigby, ID 83442 Phone: 208-745-5021 Fax: 208-745-5026 |