Jenny F Hicks (NPI# 1578090833, PAC ID# 3779852694) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1578090833 |
| PAC ID by PECOS | 3779852694 |
| Professional Enrollment ID | I20170710001574 |
| Full Name | Jenny F Hicks |
| Organization Legal Name | IDAHO PAIN CLINIC PLLC |
| Address |
229 S 7th St St Maries ID 83861-1803 |
| Phone Number | 2082639757 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 3274712609 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1327 Superior St, Suite 101, Sandpoint, ID 83864-2742 | 2082639757 | IDAHO PAIN CLINIC PLLC |
| 1327 Superior St, Sandpoint, ID 83864-2742 | 2082639757 | IDAHO PAIN CLINIC PLLC |
| 229 S 7th St, St Maries, ID 83861-1803 | 2082639757 | IDAHO PAIN CLINIC PLLC |
| Organization Legal Name | IDAHO PAIN CLINIC PLLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Thome | Physical Therapy | Idaho Pain Clinic Pllc | 1327 Superior St, Suite 101, Sandpoint, ID 83864-2742 |
| Emily S Mildes | Nurse Practitioner | Idaho Pain Clinic Pllc | 1113 E Westview Ct, Spokane, WA 99218-1319 |
| Steven A Sodorff | Physical Therapy | Idaho Pain Clinic Pllc | 1327 W Superior St, Suite 101, Sandpoint, ID 83864-2742 |
| Alina C Niculaescu | Physician Assistant | Idaho Pain Clinic Pllc | 714 W Pine St, Newport, WA 99156-9046 |
| Leslie C Rogers | Nurse Practitioner | Idaho Pain Clinic Pllc | 229 S 7th St, St Maries, ID 83861-1803 |
| Magdalena Sneddon | Nurse Practitioner | Idaho Pain Clinic Pllc | 229 S 7th St, St Maries, ID 83861-1803 |
| Regina Marie Kendra | Nurse Practitioner | Idaho Pain Clinic Pllc | 1327 W Superior St, Suite 101, Sandpoint, ID 83864-2742 |
| Jeffrey S Ispirescu | Anesthesiology | Idaho Pain Clinic Pllc | 1327 W Superior St, Suite 101, Sandpoint, ID 83864-2742 |
| Elizabeth A Morris | Occupational Therapy | Idaho Pain Clinic Pllc | 1327 Superior St, Suite 101, Sandpoint, ID 83864-2742 |
| Street Address |
229 S 7TH ST |
| City | ST MARIES |
| State | ID |
| Zip | 83861-1803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael G Melendez | Diagnostic Radiology | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| John M Mcnulty | Orthopedic Surgery | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Leslie C Rogers | Nurse Practitioner | Idaho Pain Clinic Pllc | 229 S 7th St, St Maries, ID 83861-1803 |
| Frederick P Ragan | General Practice | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Craig A Burns | Emergency Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| William Scott Spence | Family Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Magdalena Sneddon | Nurse Practitioner | Idaho Pain Clinic Pllc | 229 S 7th St, St Maries, ID 83861-1803 |
| Jordan R Day | Physician Assistant | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Tim J Ochoa | Family Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Michael L Ettner | Emergency Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry E Davenport | Family Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Taylor F Reichel | Diagnostic Radiology | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Michael L Larsen | Diagnostic Radiology | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| David E Moody | Diagnostic Radiology | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Edward G Moellmer | Family Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Richard K Thurston | Emergency Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Rebecca L Jackson | Physician Assistant | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| John R Katovich | Emergency Medicine | Benewah Community Hospital | 229 S 7th St, St Maries, ID 83861-1803 |
| Stephanie N Baker | Nurse Practitioner | Benewah Community Hospital | 229 S 8th St, St Maries, ID 83861-1813 |
| Gary R Little | Clinical Social Worker | Pathways of Idaho, LLC | 622 W College Ave, St Maries, ID 83861-1822 |
| Find all physicians in zip 83861 | |||
| City | ST MARIES |
| Zip Code | 83861 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | ST MARIES + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jenny F Hicks.
| 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.