| Tyler Jue, NP | |
|
645 E 5th St, Weiser, ID 83672-2202 | |
| (208) 549-0370 | |
| (208) 302-0855 |
| Full Name | Tyler Jue |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 645 E 5th St, Weiser, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033641154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 55104 (Idaho) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 55104 (Idaho) | Primary |
| Entity Name | Weiser Valley Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255364030 PECOS PAC ID: 5294704276 Enrollment ID: O20050124000126 |
| Entity Name | Medical Directors Of Idaho Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710392410 PECOS PAC ID: 1951628544 Enrollment ID: O20150319000233 |
| Entity Name | Finding Home Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609327022 PECOS PAC ID: 7517248537 Enrollment ID: O20170106000679 |
| Entity Name | Taylor G Wright Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235526682 PECOS PAC ID: 8426362450 Enrollment ID: O20201222001384 |
| Entity Name | Spencer J Hardenbrook Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073909594 PECOS PAC ID: 2062733546 Enrollment ID: O20210218002618 |
| Entity Name | Jff Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376323303 PECOS PAC ID: 4789033218 Enrollment ID: O20231209000480 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Jue, NP 645 E 5th St, Weiser, ID 83672-2202 Ph: () - | Tyler Jue, NP 645 E 5th St, Weiser, ID 83672-2202 Ph: (208) 549-0370 |
Melissa A Hathhorn, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 360 E Liberty St, Weiser, ID 83672 Phone: 208-549-4424 | |
Elizabeth L Bauer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 683 E 3rd St, Weiser, ID 83672 Phone: 208-549-0211 Fax: 208-549-0104 | |
Andrea Wheeler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 645 E 5th St, Weiser, ID 83672 Phone: 208-549-4424 | |
Selena Jeanette Ankarberg, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 683 E 3rd St, Weiser, ID 83672 Phone: 208-549-0211 Fax: 208-549-0104 | |
Sarah Anne Martin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 360 E Liberty St, Weiser, ID 83672 Phone: 208-549-4424 |