| Bryan Wayne Anderson, NCC | |
|
151 N 3rd Ave Ste 330, Pocatello, ID 83201-6369 | |
| (208) 242-3771 | |
| Not Available |
| Full Name | Bryan Wayne Anderson |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 10 Years |
| Location | 151 N 3rd Ave Ste 330, Pocatello, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861161432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Idaho Mental Health Llc | 1850830837 | 2 |
| Entity Name | East Idaho Mental Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629825526 PECOS PAC ID: 1850830837 Enrollment ID: O20240822003069 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Wayne Anderson, NCC 151 N 3rd Ave Ste 330, Pocatello, ID 83201-6369 Ph: (208) 242-3771 | Bryan Wayne Anderson, NCC 151 N 3rd Ave Ste 330, Pocatello, ID 83201-6369 Ph: (208) 242-3771 |
Ms. Dedra Christine Sanna, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Washington Ave, Pocatello, ID 83201 Phone: 208-234-2646 Fax: 208-232-0035 |
Courtney Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2055 Garrett Way, Ste 2, Pocatello, ID 83201 Phone: 208-233-7832 |
Lisa Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 S Main St, Pocatello, ID 83204 Phone: 208-232-8840 |
Ms. Rit Larae Nauman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3330 Highway 30 W, Pocatello, ID 83201 Phone: 208-234-9100 Fax: 208-234-9104 |
Mrs. Cassidy Michelle Roske, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Washington Ave, Pocatello, ID 83201 Phone: 208-234-2646 Fax: 208-232-0035 |
Matthew R Christensen, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 5230 W Moonlight Mine Rd., Pocatello, ID 83201 Phone: 208-351-3956 |
Steven Peters, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2055 Garrett Way, Ste 2, Pocatello, ID 83201 Phone: 208-233-7832 |