Joel Bocanegra, PHD | |
357 W Center St Ste 3, Pocatello, ID 83204-3236 | |
(208) 244-0081 | |
Not Available |
Full Name | Joel Bocanegra |
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Gender | Male |
Speciality | Psychologist |
Location | 357 W Center St Ste 3, Pocatello, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245706274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PSY-203077 (Idaho) | Primary |
Entity Name | America Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942836911 PECOS PAC ID: 1658790001 Enrollment ID: O20201002002848 |
Mailing Address | Practice Location Address |
---|---|
Joel Bocanegra, PHD 5740 Arrowhead Dr, Pocatello, ID 83204-4659 Ph: (502) 689-3428 | Joel Bocanegra, PHD 357 W Center St Ste 3, Pocatello, ID 83204-3236 Ph: (208) 244-0081 |
Ms. Eunice Grace Gardner, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1710 | |
Dr. Steven Randall Lawyer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Idaho State University, Department Of Psychology, Stop 8112, Pocatello, ID 83209 Phone: 208-282-2142 Fax: 208-282-4832 | |
Jessica Michelle Wilson-lucero, ED.S, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 395 1/2 Willard Ave, Pocatello, ID 83201 Phone: 208-240-4063 | |
Dr. Nicholas E. Heyneman, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 850 E Center St, Suite A, Pocatello, ID 83201 Phone: 208-234-7740 Fax: 208-392-1541 | |
Dr. Debra L Aubrey, PHD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 1070 Hiline Road, Ste 250, Pocatello, ID 83201 Phone: 208-742-6400 Fax: 208-742-6444 | |
Anne Stegenga, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 209-282-4141 | |
John L. Christensen, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 500 S 11th Ave, Suite 302, Pocatello, ID 83201 Phone: 208-233-0150 Fax: 208-233-0159 |