| Preventative Health | |
|
531 S Fitness Pl Ste 100 Eagle ID 83616-6552 | |
| (208) 853-2273 | |
| Not Available |
| Full Name | Preventative Health |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 531 S Fitness Pl Ste 100, Eagle, Idaho |
| Authorized Official Name and Position | Danielle Bennion (OWNER) |
| Authorized Official Contact | 2088532273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preventative Health 531 S Fitness Pl 100 Eagle ID 83616-6552 Ph: (208) 853-2273 | Preventative Health 531 S Fitness Pl Ste 100 Eagle ID 83616-6552 Ph: (208) 853-2273 |
| NPI Number | 1922377027 |
|---|---|
| Provider Enumeration Date | 12/19/2011 |
| Last Update Date | 04/10/2017 |
| Medicare PECOS PAC ID | 2264696368 |
|---|---|
| Medicare Enrollment ID | O20120620000481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922377027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Secondary |
| 291U00000X | Clinical Medical Laboratory | () | Secondary |
| 363LF0000X | Nurse Practitioner - Family | () | Primary |
| Provider Name | Cynda Le Tomlinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891703070 PECOS PAC ID: 9638119969 Enrollment ID: I20080619000546 |
| Provider Name | Lisa K Sanders |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073787297 PECOS PAC ID: 3375603145 Enrollment ID: I20090403000568 |
| Provider Name | Stacy Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992030928 PECOS PAC ID: 3870632235 Enrollment ID: I20091125000271 |
| Provider Name | Erin M Renak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588826846 PECOS PAC ID: 9931357258 Enrollment ID: I20120911000792 |
| Provider Name | Shannon Binder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710386396 PECOS PAC ID: 4688895527 Enrollment ID: I20141017002390 |
| Provider Name | Christine a Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891176798 PECOS PAC ID: 1850606369 Enrollment ID: I20150812009000 |
| Provider Name | Stacie M Mccomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366982621 PECOS PAC ID: 0446528806 Enrollment ID: I20170608000947 |
Eagle Creek Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1281 E. Iron Eagle Dr, Eagle, ID 83616 Phone: 208-939-5535 Fax: 208-939-5536 |
Primary Health Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1895 Mcgrath Rd, Eagle, ID 83616 Phone: 208-939-8200 Fax: 208-939-8222 |
Enhanced Aesthetics and Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 367 S Academy Ln, Eagle, ID 83616 Phone: 985-778-7582 |
Family & Functional Medicine of Idaho PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 W State St, Suite 250, Eagle, ID 83616 Phone: 208-947-0925 Fax: 208-947-0926 |
Linda D Burke MD PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 S. Fitness Place, Eagle, ID 83616 Phone: 208-939-2332 Fax: 208-939-7676 |
Summit Medical Providers LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2205 E Riverside Dr, Eagle, ID 83616 Phone: 801-867-9760 Fax: 801-880-4400 |