Jerilyn Pence (NPI# 1366730012, PAC ID# 7012234008) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1366730012 |
| PAC ID by PECOS | 7012234008 |
| Professional Enrollment ID | I20150401001318 |
| Full Name | Jerilyn Pence |
| Organization Legal Name | LIFE CHANGE ASSOCIATES PC |
| Address |
1777 E Clark St Pocatello ID 83201-3357 |
| Phone Number | 2082335433 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 8224265574 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1777 E Clark St, Pocatello, ID 83201-3357 | 2082335433 | LIFE CHANGE ASSOCIATES PC |
| 1777 E Clark St, Suite 330, Pocatello, ID 83201-3357 | 2082335433 | LIFE CHANGE ASSOCIATES PC |
| Organization Legal Name | LIFE CHANGE ASSOCIATES PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deric V Ravsten | Psychiatry | Life Change Associates PC | 2520 S 5th Ave, Pocatello, ID 83204-1923 |
| Karl M Letko | Physician Assistant | Life Change Associates PC | 2520 S 5th Ave, Pocatello, ID 83204-1923 |
| Kebai D Bills | Physician Assistant | Life Change Associates PC | 2520 S 5th Ave, Pocatello, ID 83204-1923 |
| Steven L Ater | Psychologist, Clinical | Life Change Associates PC | 2520 S 5th Ave, Pocatello, ID 83204-1923 |
| Stephanie A Clark | Nurse Practitioner | Life Change Associates PC | 2520 S 5th Ave, Pocatello, ID 83204-1923 |
| Street Address |
1777 E CLARK ST |
| City | POCATELLO |
| State | ID |
| Zip | 83201-3357 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles P Lawless | Ophthalmology | 1777 E Clark St, Suite 310, Pocatello, ID 83201-3357 | |
| Brent Christensen | Podiatry | 1777 E Clark St, Suite 220, Pocatello, ID 83201-3357 | |
| Dwight Gale Romriell | Oral Surgery | 1777 E Clark St, Suite 240, Pocatello, ID 83201-3357 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy A Flicker | Physical Therapy | 2839 Margo Ln, Pocatello, ID 83201-1961 | |
| Michael D Lance | Psychiatry | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Kenneth A Cogen | Nephrology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Randall J Skeem | Internal Medicine | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Martha Elizabeth Franz | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| John L Shuss | General Surgery | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Ciara C Christensen | Clinical Psychologist | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Robin L Hall | Nurse Practitioner | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Laurence L Martens | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Terry J Buccambuso | Diagnostic Radiology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Find all physicians in zip 83201 | |||
| City | POCATELLO |
| Zip Code | 83201 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | POCATELLO + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Jerilyn Pence.
| 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.