| Mr Jared Ryan Ostermiller, LCSW | |
|
242 E 7th N, Ste 4, Rexburg, ID 83440-3550 | |
| (208) 359-9683 | |
| (208) 359-0889 |
| Full Name | Mr Jared Ryan Ostermiller |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 242 E 7th N, Rexburg, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760505747 | NPI | - | NPPES |
| 806530400 | Medicaid | ID | |
| 806867300 | Medicaid | ID | |
| 000010146334 | Other | ID | BLUE SHIELD |
| L3688 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-1351 (Idaho) | Primary |
| Entity Name | Ostermiller Counseling Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639292626 PECOS PAC ID: 3476896911 Enrollment ID: O20190523002523 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jared Ryan Ostermiller, LCSW 242 E 7th N, Ste 4, Rexburg, ID 83440-3550 Ph: (208) 359-9683 | Mr Jared Ryan Ostermiller, LCSW 242 E 7th N, Ste 4, Rexburg, ID 83440-3550 Ph: (208) 359-9683 |
Courtney I Stimpson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1069 Summers Dr Ste B, Rexburg, ID 83440 Phone: 208-557-3430 | |
Ms. Janell Clement, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 218 Dividend Dr, Rexburg, ID 83440 Phone: 208-359-9683 | |
Rhet Dalling, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 72 S 1st E Ste 103, Rexburg, ID 83440 Phone: 208-356-4900 Fax: 208-372-1023 | |
Eric Scott Fernelius, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 339 E 7th N, Rexburg, ID 83440 Phone: 801-510-4750 | |
Trevor James Nelson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 33 Madison Professional Park, Rexburg, ID 83440 Phone: 208-243-9304 Fax: 208-656-5668 | |
Danielle Nicole Peterson, LMSW-41574 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 E Main St Ste 210, Rexburg, ID 83440 Phone: 208-357-3104 | |
Brigham Prestwich, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 707 S 5th W Apt 200, Rexburg, ID 83440 Phone: 208-298-7819 |