Jenna B Pitman (NPI# 1427349711, PAC ID# 3072885870) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1427349711 |
| PAC ID by PECOS | 3072885870 |
| Professional Enrollment ID | I20170814001888 |
| Full Name | Jenna B Pitman |
| Organization Legal Name | BEAR LAKE COMMUNITY HEALTH CENTER |
| Address |
75 Yellow Creek Rd Suite 102 Evanston WY 82930-5205 |
| Phone Number | 4357556061 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9032020037 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 530032 | EVANSTON REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5205 | 4357556061 | BEAR LAKE COMMUNITY HEALTH CENTER |
| Organization Legal Name | BEAR LAKE COMMUNITY HEALTH CENTER |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sydnie Hobbs | Nurse Practitioner | Bear Lake Community Health Center | 325 W Logan Hwy, Garden City, UT 84028 |
| Bryan D Whetton | Physician Assistant | Bear Lake Community Health Center | 5 W 200, Brigham City, UT 84302-2109 |
| Ryan M Carr | Physician Assistant | Bear Lake Community Health Center | 517 W 100, Suite 210, Providence, UT 84332-9826 |
| Kristin K Buys | Physician Assistant | Bear Lake Community Health Center | 1515 N 400, Suite 104, North Logan, UT 84341-7595 |
| Glenn L. Robertson | Family Medicine | Bear Lake Community Health Center | 325 W Logan Hwy, Garden City, UT 84028 |
| James D Sutton | Physician Assistant | Bear Lake Community Health Center | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5205 |
| Mina L Wayman | Nurse Practitioner | Bear Lake Community Health Center | 325 W Logan Hwy, Garden City, UT 84028 |
| Phillip Edward Archibald | Clinical Social Worker | Bear Lake Community Health Center | 1515 N 400, Suite 104, North Logan, UT 84341-7595 |
| Sarah Renee Eldredge | Physician Assistant | Bear Lake Community Health Center | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5205 |
| Tiffany Marie Redmond | Physician Assistant | Bear Lake Community Health Center | 1515 N 400, Suite 104, North Logan, UT 84341-7595 |
| Street Address |
75 YELLOW CREEK RD SUITE 102 |
| City | EVANSTON |
| State | WY |
| Zip | 82930-5205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Begalla | Nurse Practitioner | 75 Yellow Creek Rd, Suite 202, Evanston, WY 82930-5237 | |
| James D Sutton | Physician Assistant | Bear Lake Community Health Center | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5205 |
| Sarah Renee Eldredge | Physician Assistant | Bear Lake Community Health Center | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5205 |
| Michael D Adams | Family Medicine | Bear Lake Community Health Center | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5205 |
| Kid Ryan M. Wilk | Physician Assistant | Bear Lake Community Health Center | 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol D Davis | Occupational Therapy | 612 County Club Dr, Ot Services, Evanston, WY 82930 | |
| Vickie L Wood | Clinical Social Worker | Pioneer Counseling Services | 949 Ctr St, Evanston, WY 82930-3430 |
| William Bruce Bourland | Optometry | 701 Front St, Evanston, WY 82930-3522 | |
| Pamela R Fuller | Psychologist, Clinical | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
| Juliet L Jett | Psychologist, Clinical | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
| Cora J Klotzbach | Psychologist, Clinical | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
| Denise M Debarre | Clinical Psychologist | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
| David R Russell | Optometry | 720 6th St, Evanston, WY 82930-3702 | |
| Suzanne Petren | Clinical Psychologist | Mountain Regional Services, Inc | 50 Allegiance Cir, Evanston, WY 82930-3804 |
| Sheri L Montgomery | Occupational Therapy | 152 Fox Point Loop Rd, Evanston, WY 82930-4784 | |
| Find all physicians in zip 82930 | |||
| City | EVANSTON |
| Zip Code | 82930 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | EVANSTON + PHYSICIAN ASSISTANT |
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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.