Jessica Tanner (NPI# 1548509920, PAC ID# 1951548767) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1548509920 |
| PAC ID by PECOS | 1951548767 |
| Professional Enrollment ID | I20130515000661 |
| Full Name | Jessica Tanner |
| Organization Legal Name | NEW HORIZONS MENTAL WELLNESS CLINICS |
| Address |
1223 S Railroad Ave Sugar City ID 83448-5072 |
| Phone Number | 2082332025 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 5698993822 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1223 S Railroad Ave, Sugar City, ID 83448-5072 | 2082332025 | NEW HORIZONS MENTAL WELLNESS CLINICS |
| 1223 S Railroad Ave, Sugar City, ID 83448-5072 | 2083594293 | UPPER VALLEY RESOURCE AND COUNSELING LLC |
| Organization Legal Name | NEW HORIZONS MENTAL WELLNESS CLINICS |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darrin B Robertson | Nurse Practitioner | New Horizons Mental Wellness Clinics | 1352 E Ctr St, Suite A, Pocatello, ID 83201-4773 |
| Amy Belnap | Nurse Practitioner | New Horizons Mental Wellness Clinics | 1352 E Ctr St, Suite A, Pocatello, ID 83201-4773 |
| Jennie L Brumfield | Nurse Practitioner | New Horizons Mental Wellness Clinics | 1352 E Ctr St, Suite A, Pocatello, ID 83201-4773 |
| Amy I Ohs | Clinical Social Worker | New Horizons Mental Wellness Clinics | 1223 S Railroad Ave, Sugar City, ID 83448-5072 |
| Street Address |
1223 S RAILROAD AVE |
| City | SUGAR CITY |
| State | ID |
| Zip | 83448-5072 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tonya Hollist | Clinical Social Worker | Upper Valley Resource and Counseling LLC | 1223 S Railroad Ave, Sugar City, ID 83448-5072 |
| Amy I Ohs | Clinical Social Worker | New Horizons Mental Wellness Clinics | 1223 S Railroad Ave, Sugar City, ID 83448-5072 |
| City | SUGAR CITY |
| Zip Code | 83448 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | SUGAR CITY + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.