| Aces Community Services | |
|
545 N Benjamin Ln Ste 185 Boise ID 83704-9625 | |
| (208) 322-1026 | |
| (208) 322-1029 |
| Full Name | Aces Community Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 545 N Benjamin Ln Ste 185, Boise, Idaho |
| Authorized Official Name and Position | Ryan Jones (IDAHO STATE DIRECTOR) |
| Authorized Official Contact | 2083221026 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aces Community Services 545 N Benjamin Ln Ste 185 Boise ID 83704-9625 Ph: (208) 322-1026 | Aces Community Services 545 N Benjamin Ln Ste 185 Boise ID 83704-9625 Ph: (208) 322-1026 |
| NPI Number | 1326466988 |
|---|---|
| Provider Enumeration Date | 04/01/2014 |
| Last Update Date | 12/28/2022 |
| Certification Date | 12/28/2022 |
| Medicare PECOS PAC ID | 4789808759 |
|---|---|
| Medicare Enrollment ID | O20140612001789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326466988 | NPI | - | NPPES |
| 20004720 | Other | ID | MEDICARE PTAN |
| Provider Name | Jody A Gray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821352329 PECOS PAC ID: 3971758020 Enrollment ID: I20130221000515 |
| Provider Name | Sharon L Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598189821 PECOS PAC ID: 1658594049 Enrollment ID: I20140604000901 |
| Provider Name | Shannon Binder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710386396 PECOS PAC ID: 4688895527 Enrollment ID: I20141017002390 |
| Provider Name | Susan Martinelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366629388 PECOS PAC ID: 9335216068 Enrollment ID: I20150909002371 |
| Provider Name | Susan C Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477837698 PECOS PAC ID: 1254692593 Enrollment ID: I20180228001911 |
| Provider Name | Shannon H Moskitis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144672635 PECOS PAC ID: 0941610034 Enrollment ID: I20201030001109 |
| Provider Name | Stacie S Karlinsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356989909 PECOS PAC ID: 6608250329 Enrollment ID: I20220830002527 |
| Provider Name | Samantha J Leavitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881264950 PECOS PAC ID: 2163896564 Enrollment ID: I20230327002129 |
| Provider Name | Amanda L Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760946289 PECOS PAC ID: 7810355583 Enrollment ID: I20230628001550 |
| Provider Name | Rachael J Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437766805 PECOS PAC ID: 7618329335 Enrollment ID: I20240118002280 |
| Provider Name | Kara J Hudson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427487479 PECOS PAC ID: 6507200110 Enrollment ID: I20240221003685 |
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