Genevieve Marie Leetham, APRN - Medicare Nurse Practitioner in Mountain Home, ID

Genevieve Marie Leetham, APRN is a medicare enrolled "Nurse Practitioner - Family" in Mountain Home, Idaho. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Glenns Ferry Health Center Inc and her current practice location is 2280 American Legion Blvd, Mountain Home, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 587-3988.

Genevieve Marie Leetham is licensed to practice in Idaho (license number NP-67308) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669027793.

Contact Information

Genevieve Marie Leetham, APRN
2280 American Legion Blvd,
Mountain Home, ID 83647-3142
(208) 587-3988
(208) 587-3324



Provider's Profile

Full NameGenevieve Marie Leetham
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location2280 American Legion Blvd, Mountain Home, Idaho
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Genevieve Marie Leetham graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1669027793
  • Provider Enumeration Date: 08/06/2019
  • Last Update Date: 07/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5698171262
  • Enrollment ID: I20210907002036

Medical Identifiers

Medical identifiers for Genevieve Marie Leetham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669027793NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 5905632-4405 (Utah)Secondary
363LF0000XNurse Practitioner - Family NP-67308 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Alphonsus Regional Medical CenterBoise, IDHospital
St Luke's Elmore Medical CenterMountain home, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Glenns Ferry Health Center Inc549665689412

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Genevieve Marie Leetham allows following entities to bill medicare on her behalf.
Entity NameGlenns Ferry Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376673137
PECOS PAC ID: 5496656894
Enrollment ID: O20040119000307

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Genevieve Marie Leetham is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Genevieve Marie Leetham, APRN
2280 American Legion Blvd,
Mountain Home, ID 83647-3142

Ph: (208) 587-3988
Genevieve Marie Leetham, APRN
2280 American Legion Blvd,
Mountain Home, ID 83647-3142

Ph: (208) 587-3988

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Nurse Practitioner Nurses in Mountain Home, ID

Dawn D Best, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 120 Desert Sage Way, Mountain Home, ID 83647
Phone: 208-587-3988    Fax: 208-587-3324
Thor Hauff, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 120 Desert Sage Way, Mountain Home, ID 83647
Phone: 208-587-3988    Fax: 208-587-3324
Robin Amber Nettleton, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 840 N 4th E, Mountain Home, ID 83647
Phone: 208-587-1850    Fax: 208-587-1851
Brandi Ann Bartholomew, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 840 N 4th E, Mountain Home, ID 83647
Phone: 208-587-1850    
Linda G Shaw, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 805 N 6th E, Mountain Home, ID 83647
Phone: 208-587-5880    Fax: 208-587-7905

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