Ronald Sebreros (NPI# 1386901627, PAC ID# 2062738792) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1386901627 |
| PAC ID by PECOS | 2062738792 |
| Professional Enrollment ID | I20150224000703 |
| Full Name | Ronald Sebreros |
| Organization Legal Name | MENTAL WELLNESS CENTERS, INC |
| Address |
159 N Idaho St Arco ID 83213-4708 |
| Phone Number | 2085921026 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 9234391889 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 159 N Idaho St, Arco, ID 83213-4708 | 2085921026 | MENTAL WELLNESS CENTERS, INC |
| 2420 E 25th St, Idaho Falls, ID 83404-7549 | 2085421026 | MENTAL WELLNESS CENTERS, INC |
| Organization Legal Name | MENTAL WELLNESS CENTERS, INC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Brimhall | Nurse Practitioner | Mental Wellness Centers, Inc | 2420 E 25th St, Idaho Falls, ID 83404-7549 |
| Jacob Comstock | Clinical Social Worker | Mental Wellness Centers, Inc | 1070 Hiline Rd, Suite 210, Pocatello, ID 83201-2947 |
| Shawn L Warren | Nurse Practitioner | Mental Wellness Centers, Inc | 2420 E 25th St, Idaho Falls, ID 83404-7549 |
| Vernon Robert Kubiak | Nurse Practitioner | Mental Wellness Centers, Inc | 2420 E 25th St, Idaho Falls, ID 83404-7549 |
| Kade Anderson | Physician Assistant | Mental Wellness Centers, Inc | 2420 E 25th St, Idaho Falls, ID 83404-7549 |
| Michael T Hartley | Clinical Social Worker | Mental Wellness Centers, Inc | 2420 E 25th St, Idaho Falls, ID 83404-7549 |
| Shaylene Peninger | Clinical Social Worker | Mental Wellness Centers, Inc | 2420 E 25th St, Idaho Falls, ID 83404-7549 |
| Suzanne Elaine Brown | Clinical Social Worker | Mental Wellness Centers, Inc | 2420 E 25th St, Idaho Falls, ID 83404-7549 |
| Candace Dayton | Clinical Social Worker | Mental Wellness Centers, Inc | 2420 E 25th St, Idaho Falls, ID 83404-7549 |
| Nathan Bradfield | Nurse Practitioner | Mental Wellness Centers, Inc | 2420 E 25th St, Idaho Falls, ID 83404-7549 |
| Street Address |
159 N IDAHO ST |
| City | ARCO |
| State | ID |
| Zip | 83213-4708 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cody E Jones | Optometry | 551 Highland Dr, Arco, ID 83213-5003 | |
| Mary B Spraktes | Nurse Practitioner | Lost Rivers Medical Center | 551 Highland Dr, Arco, ID 83213-5003 |
| Christopher A Heatherton | Family Medicine | Lost Rivers Medical Center | 551 Highland Dr, Arco, ID 83213-5003 |
| Jenna Lee Jensen | Nurse Practitioner | Lost Rivers Medical Center | 551 Highland Dr, Arco, ID 83213-5003 |
| Helen M Merrill | Chiropractic | Lost Rivers Medical Center | 551 Highland Dr, Arco, ID 83213-5003 |
| City | ARCO |
| Zip Code | 83213 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | ARCO + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Ronald Sebreros.
| 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.