| 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 |
| Experience | 10 Years |
| Location | 645 E 5th St, Weiser, 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 |
|---|---|---|---|
| 1033641154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 55104 (Idaho) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 55104 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Weiser Memorial Hospital | Weiser, ID | Hospital |
| Valor Health | Emmett, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Weiser Valley Hospital District | 5294704276 | 60 |
| Entity Name | Walter Knox Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063419018 PECOS PAC ID: 7012907785 Enrollment ID: O20040514000512 |
| 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 | Weiser Valley Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1881641629 PECOS PAC ID: 5294704276 Enrollment ID: O20061104000372 |
| 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 | Walter Knox Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1063419018 PECOS PAC ID: 7012907785 Enrollment ID: O20160721000463 |
| 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: Not Available | 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 |
Kayla Lo, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 360 E Liberty St, Weiser, ID 83672 Phone: 208-549-4424 |