Mrs Kacie Marie Peacock, RN - Registered Nurse in Plummer, ID

Mrs Kacie Marie Peacock, RN is a Registered Nurse based in Plummer, Idaho. Mrs Kacie Marie Peacock is licensed to practice in Idaho (license number 69205) and her current practice location is 4440 Highway 5, Plummer, Idaho. She can be reached at her office (for appointments etc.) via phone at (559) 859-3168.

NPI number for Mrs Kacie Marie Peacock is 1083313159 and her current mailing address is 4440 Highway 5, Plummer, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083313159.

Contact Information

Mrs Kacie Marie Peacock, RN
4440 Highway 5,
Plummer, ID 83851-9681
(559) 859-3168
Not Available



Provider's Profile

Full NameMrs Kacie Marie Peacock
GenderFemale
SpecialityRegistered Nurse
Location4440 Highway 5, Plummer, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083313159
  • Provider Enumeration Date: 02/28/2023
  • Last Update Date: 02/28/2023

Medical Identifiers

Medical identifiers for Mrs Kacie Marie Peacock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083313159NPI-NPPES
758195OtherCANA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN61343748 (Washington)Secondary
163W00000XRegistered Nurse 758195 (California)Secondary
163W00000XRegistered Nurse 69205 (Idaho)Primary

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. Mrs Kacie Marie Peacock is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kacie Marie Peacock, RN
4440 Highway 5,
Plummer, ID 83851-9681

Ph: (559) 859-3168
Mrs Kacie Marie Peacock, RN
4440 Highway 5,
Plummer, ID 83851-9681

Ph: (559) 859-3168

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Registered Nurse Nurses in Plummer, ID

Mrs. Ada M Denny, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1115 B St, Benewah Medical Center, Plummer, ID 83851
Phone: 208-686-1931    Fax: 208-686-1035
Mrs. Ginger Caroline Carpenter, RN MSN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1115 B St, Plummer, ID 83851
Phone: 208-686-1931    Fax: 208-686-0242
Ms. Cathy A Armstrong, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1100 A St, Plummer, ID 83851
Phone: 208-686-1767    
Mrs. Susan Mary Bates, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1115 B Street, Plummer, ID 83851
Phone: 208-686-1931    Fax: 208-686-1035
Darcy Ann Humphrey, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1115 B Street, Plummer, ID 83851
Phone: 208-686-1931    
Mrs. Tamara S Hise, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1100 A St, Plummer, ID 83851
Phone: 208-686-1931    Fax: 208-686-8052

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