Juanita E Prissel, MD
Individual provider Active NPI Family Medicine Physician · Driggs, ID
NPI 1376771667 · NPPES record last updated Apr 19, 2018
Key facts
- NPI
- 1376771667
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- M-11239 (ID)
- Practice address
- 120 E Howard St
Driggs, ID 83422-5112 - Phone
- (208) 354-6302
- Fax
- (208) 354-3158
- NPI assigned
- Jun 25, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Teton Valley Health Care Inc
Practice addresses (Care Compare)
120 E Howard St
Driggs, ID 83422-5112
Phone (208) 354-2383
Hospital & facility affiliations
- Teton Valley Hospital
- Teton Valley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120730000739 | ID | Practitioner - Internal Medicine | 7416113881 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teton Valley Health Care, Inc | Current |
Accepting new patients | |
| Teton Valley Health Care Inc | Family Medicine | Current | Accepting new patients |
| Teton Valley Health Care Inc | Family Medicine | Current |
Accepting new patients |
| Teton Valley Health Care Inc | Current |
Accepting new patients |
Locations
283 N 1st St
Driggs, ID 83422
Phone (208) 354-2302
120 E Howard St
Driggs, ID 83422
Phone (208) 354-2302
Interoperability endpoints
- juanita.prissel.1@15468.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M-11239 | ID | Yes |
Addresses
Primary practice location
120 E Howard St
Driggs, ID 83422-5112
Mailing address
120 E Howard St
Driggs, ID 83422-5112
Phone (208) 354-6302
Other names
- Juanita E Swensen
Other providers in Driggs, ID
- Mackenzie Wilson Parkhill
- Louis J Parri
- Peaks to Plains Therapy Services, PA
- Eliza S. Petersen
- Pine Creek Counseling
- Querencia Counseling
- Rose Marie Raube
- Reddoor Personal Care
- Reddoor Rehabilitation Inc.
- Sarah Joyce Richins
All providers in Driggs, ID · Family Medicine Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.