Mary K Bermensolo (NPI# 1659420693, PAC ID# 1658462254) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1659420693 |
| PAC ID by PECOS | 1658462254 |
| Professional Enrollment ID | I20070810000812 |
| Full Name | Mary K Bermensolo |
| Address |
410 S Orchard St Suite 132 Boise ID 83705-1288 |
| Phone Number | 2084126683 |
| Gender | F |
| Graduation Year | 1984 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 410 S Orchard St, Suite 132, Boise, ID 83705-1288 | 2084126683 |
| Street Address |
410 S ORCHARD ST SUITE 132 |
| City | BOISE |
| State | ID |
| Zip | 83705-1288 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judit I Mccullough | Chiropractic | 410 S Orchard St, Suite 152, Boise, ID 83705-1210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas D Hickey | Chiropractic | 376 S Latah St, Boise, ID 83705-1539 | |
| Pamela H Archuleta | Nurse Practitioner | 921 S Orchard St, Suite 101, Boise, ID 83705-1916 | |
| Elizabeth A Jackson | Clinical Social Worker | 963 S Orchard St, Suite 103, Boise, ID 83705-1917 | |
| Toni Sparks | Nurse Practitioner | 1111 S Orchard St, Suite 155, Boise, ID 83705-1963 | |
| Wayland B Fong | Internal Medicine | 808 S La Cassia Dr, Boise, ID 83705-2253 | |
| Margaret C Gwin | Clinical Psychologist | 2901 W Kootenai St, Boise, ID 83705-2326 | |
| Candace M Richards | Physical Therapy | Hands-on Physical Therapy Pa | 5255 W Overland Rd, Boise, ID 83705-2637 |
| Andrea J Henderson | Physical Therapy | Hands-on Physical Therapy Pa | 5255 W Overland Rd, Boise, ID 83705-2637 |
| Twila R Dover | Physical Therapy | Hands-on Physical Therapy Pa | 5255 W Overland Rd, Boise, ID 83705-2637 |
| William K Mcmartin | Physical Therapy | Hands-on Physical Therapy Pa | 5255 W Overland Rd, Boise, ID 83705-2637 |
| Find all physicians in zip 83705 | |||
| City | BOISE |
| Zip Code | 83705 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | BOISE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Mary K Bermensolo.
| 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.