Megan S Wall (NPI# 1962881482, PAC ID# 2365746872) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1962881482 |
| PAC ID by PECOS | 2365746872 |
| Professional Enrollment ID | I20160203001885 |
| Full Name | Megan S Wall |
| Organization Legal Name | ADDICTION AND TRAUMA RECOVERY PLLC |
| Address |
1970 E 17th St Suite 208 Idaho Falls ID 83404-8048 |
| Phone Number | 2089320668 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 8527361203 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1970 E 17th St, Suite 208, Idaho Falls, ID 83404-8048 | 2089320668 | ADDICTION AND TRAUMA RECOVERY PLLC |
| Organization Legal Name | ADDICTION AND TRAUMA RECOVERY PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle L Perrenoud | Clinical Social Worker | Addiction and Trauma Recovery Pllc | 1970 E 17th St, Suite 208, Idaho Falls, ID 83404-8048 |
| Sara J Hiatt | Clinical Social Worker | Addiction and Trauma Recovery Pllc | 1970 E 17th St, Suite 208, Idaho Falls, ID 83404-8048 |
| Jenny Decker | Clinical Social Worker | Addiction and Trauma Recovery Pllc | 1970 E 17th St, Suite 208, Idaho Falls, ID 83404-8048 |
| Street Address |
1970 E 17TH ST SUITE 208 |
| City | IDAHO FALLS |
| State | ID |
| Zip | 83404-8048 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle L Perrenoud | Clinical Social Worker | Addiction and Trauma Recovery Pllc | 1970 E 17th St, Suite 208, Idaho Falls, ID 83404-8048 |
| Sara J Hiatt | Clinical Social Worker | Addiction and Trauma Recovery Pllc | 1970 E 17th St, Suite 208, Idaho Falls, ID 83404-8048 |
| Jenny Decker | Clinical Social Worker | Addiction and Trauma Recovery Pllc | 1970 E 17th St, Suite 208, Idaho Falls, ID 83404-8048 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Ann Sharp-marsden | Nurse Practitioner | 1680 Elk Creek Dr, Idaho Falls, ID 83404-1225 | |
| Lisa Hong | Occupational Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Brent Kennedy | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Heidi Duran | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Rebecca L Butikofer | Occupational Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Kristan Bullock | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Dawn Taylor | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Brenda Padron | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Kimberly Stowell | Qualified Speech Language Pathologist | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Michael Anderson | Physical Therapy | Foothills Rehabilitation and Performance Services Pllc | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 |
| Find all physicians in zip 83404 | |||
| City | IDAHO FALLS |
| Zip Code | 83404 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | IDAHO FALLS + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Megan S Wall.
| 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.