Deric Ravsten DO has Psychiatry as his primary medical specialty. Their primary office is: 2520 S 5th Ave in Pocatello, Idaho.
They're a part of the: Life Change Associates Pc medical group which has around 5 members. You can call their office at 208-233-5433 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 1995 (around 29 years of experience). They are listed as doing telehealth appointments.
Deric Ravsten DO
Life Change Associates Pc
2520 S 5th Ave
Pocatello, Idaho 83204
208-233-5433
Phone: 208-233-5433
Enter a starting address:
Medical School: Des Moines University Of Osteopathic Medicine And Health Sciences
Graduation Year: 1995
The Primary Medical Specialty for Deric Ravsten DO is listed as: Psychiatry
Credentials: DO
Additional Credentials:
Approximate Years of Experience: 29
PAC (PECOS ID)#: 4688636129
NPI #: 1154431542
NPI Created On: 08/30/2006
NPI Last Updated Listed as: 10/24/2013
Primary Taxonomy Code: 2084P0800X
License Number:
O-290
Listed Gender: Male
Forms of insurance accepted by include, but are not limited to:
They are listed as accepting new patients.
Languages spoken by staff include: English.
Services and Procedures include:
Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.
Payments Total: $15
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 787932675
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Neuroscience
Name of Drug #1: SPRAVATO
Open Associated Drug #1: 50458-028-02
Drug or Biological: Drug
Product Category #2: Neuroscience
Name Of Drug #2:: INVEGA SUSTENNA
Associated Drug #2: 50458-560-01
Payments Total: $22
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 787932673
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Neuroscience
Name of Drug #1: INVEGA SUSTENNA
Open Associated Drug #1: 50458-560-01
Drug or Biological: Drug
Product Category #2: Neuroscience
Name Of Drug #2:: INVEGA TRINZA
Associated Drug #2: 50458-606-01
Drug or Biological #3:: Drug
Product Category #3: Neuroscience
Name of Drug: INVEGA
Name Of Drug #3: 50458-554-01
Drug or Biological: Drug
Product Category #4: Neuroscience
Name of Drug #4: SPRAVATO
Associated Drug #4: 50458-028-02
Payments Total: $7
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 787932677
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Neuroscience
Name of Drug #1: INVEGA SUSTENNA
Open Associated Drug #1: 50458-560-01
Drug or Biological: Drug
Product Category #2: Neuroscience
Name Of Drug #2:: SPRAVATO
Associated Drug #2: 50458-028-02
Payments Total: $7
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 787932679
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Neuroscience
Name of Drug #1: INVEGA SUSTENNA
Open Associated Drug #1: 50458-560-01
Drug or Biological: Drug
Product Category #2: Neuroscience
Name Of Drug #2:: SPRAVATO
Associated Drug #2: 50458-028-02
Payments Total: $21
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 787932681
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Neuroscience
Name of Drug #1: INVEGA SUSTENNA
Open Associated Drug #1: 50458-560-01
Payments Total: $18
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 787932683
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Neuroscience
Name of Drug #1: INVEGA SUSTENNA
Open Associated Drug #1: 50458-560-01
Payments Total: $16
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 787932685
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Neuroscience
Name of Drug #1: SPRAVATO
Open Associated Drug #1: 50458-028-02
Drug or Biological: Drug
Product Category #2: Neuroscience
Name Of Drug #2:: INVEGA SUSTENNA
Associated Drug #2: 50458-560-01
Payments Total: $7
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 787932687
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Neuroscience
Name of Drug #1: SPRAVATO
Open Associated Drug #1: 50458-028-02
Drug or Biological: Drug
Product Category #2: Neuroscience
Name Of Drug #2:: INVEGA SUSTENNA
Associated Drug #2: 50458-560-01
Payments Total: $12
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 787932689
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Neuroscience
Name of Drug #1: INVEGA SUSTENNA
Open Associated Drug #1: 50458-560-01
Drug or Biological: Drug
Product Category #2: Neuroscience
Name Of Drug #2:: SPRAVATO
Associated Drug #2: 50458-028-02
Payments Total: $16
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 795786883
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: NEUROSCIENCE
Name of Drug #1: VRAYLAR
Open Associated Drug #1: 61874-115-31
777 Hospital Way
Pocatello, ID
Pocatello Health Services Llc
777 Hospital Way
Pocatello, ID
Pocatello Health Services Llc
2520 S 5th Ave
Pocatello Id 83204-1923
Life Change Associates Pc
Physician Assistant
2520 S 5th Ave
Pocatello Id 83204-1923
Life Change Associates Pc
Nurse Practitioner
2520 S 5th Ave
Pocatello Id 83204-1923
Life Change Associates Pc
Physician Assistant
2520 S 5th Ave
Pocatello Id 83204-1923
Life Change Associates Pc
Physician Assistant
2520 S 5th Ave
Pocatello Id 83204-1923
Life Change Associates Pc
Psychiatry
View all 5 members of Life Change Associates Pc medical group