| Levi Graves, | |
|
415 N 3rd Ave Ste B, Pocatello, ID 83201-6306 | |
| (208) 646-4165 | |
| Not Available |
| Full Name | Levi Graves |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 415 N 3rd Ave Ste B, 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 |
|---|---|---|---|
| 1720863871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 77238 (Idaho) | Primary |
| Entity Name | Life Change Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598077562 PECOS PAC ID: 8224265574 Enrollment ID: O20131212001598 |
| Entity Name | Nobility Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720722549 PECOS PAC ID: 6800262015 Enrollment ID: O20221012003995 |
| Mailing Address | Practice Location Address |
|---|---|
| Levi Graves, 226 W Carter St, Pocatello, ID 83204-3454 Ph: (208) 252-5451 | Levi Graves, 415 N 3rd Ave Ste B, Pocatello, ID 83201-6306 Ph: (208) 646-4165 |
Jason Montgomery, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-2580 Fax: 208-239-2580 | |
Kealee Arehart, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 444 Hospital Way Ste 777, Pocatello, ID 83201 Phone: 208-239-1650 | |
Travis Newsom, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1750 | |
Joshua Simms Pulliam, PNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1151 Hospital Way Bldg F, Pocatello, ID 83201 Phone: 202-232-1443 | |
Dr. Christina Michelle Powers, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 777 Hospital Way Ste 101, Pocatello, ID 83201 Phone: 208-239-3899 Fax: 208-232-2195 | |
Ms. Amie Beth Kenyen, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 444 Hospital Way Ste 607, Pocatello, ID 83201 Phone: 208-589-3844 | |
Chelsey Aslett, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 |