Stephanie Clark has Nurse Practitioner as her 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 Sorry, her university is not listed and graduated in 2011 (around 13 years of experience). They are not listed as doing telehealth appointments, but this may have changed. It can't hurt to call and check. If anything it may encourage them to make them available if they are not currently.
Stephanie Clark
Life Change Associates Pc
2520 S 5th Ave
Pocatello, Idaho 83204
208-233-5433
Phone: 208-233-5433
Enter a starting address:
Medical School: Sorry, her university is not listed
Graduation Year: 2011
The Primary Medical Specialty for Stephanie Clark is listed as: Nurse Practitioner
Approximate Years of Experience: 13
PAC (PECOS ID)#: 9335311406
NPI #: 1912288572
NPI Created On: 09/08/2011
NPI Last Updated Listed as: 09/21/2023
Primary Taxonomy Code: 363L00000X
License Number:
NP-1100A
Listed Gender: Female
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: $12
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 796491031
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
Payments Total: $14
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 796491033
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
Payments Total: $13
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 796491035
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
Payments Total: $18
Number of Payments:: 1
Form of Payment: In-kind items and services
Ownership Interest:
Record ID:: 818227831
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: CNS
Name of Drug #1: VIVITROL
Open Associated Drug #1: 65757-300-01
Payments Total: $15
Number of Payments:: 1
Form of Payment: In-kind items and services
Ownership Interest:
Record ID:: 818227833
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: CNS
Name of Drug #1: ARISTADA
Open Associated Drug #1: 65757-401-03
Drug or Biological: Drug
Product Category #2: CNS
Name Of Drug #2:: ARISTADA
Associated Drug #2: 65757-402-03
Drug or Biological #3:: Drug
Product Category #3: CNS
Name of Drug: ARISTADA
Name Of Drug #3: 65757-403-03
Drug or Biological: Drug
Product Category #4: CNS
Name of Drug #4: ARISTADA
Associated Drug #4: 65757-404-03
Drug or Biological #4:: Drug
Product Category #5: CNS
Name of Drug #5: ARISTADA INITIO
Associated Drug #5: 65757-500-03
Payments Total: $12
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 821869807
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: CNS
Name of Drug #1: LATUDA
Open Associated Drug #1: 63402-304-30
Payments Total: $14
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 820409327
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: NEUROSCIENCE
Name of Drug #1: TRINTELLIX
Open Associated Drug #1: 64764-720-09
Payments Total: $19
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 820409331
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: NEUROSCIENCE
Name of Drug #1: TRINTELLIX
Open Associated Drug #1: 64764-720-09
Payments Total: $16
Number of Payments:: 1
Form of Payment: Cash or cash equivalent
Third party is a Charity:: No
Record ID:: 817861325
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Neurology
Name of Drug #1: Dayvigo
Open Associated Drug #1: 62856-405-30
Payments Total: $25
Number of Payments:: 1
Form of Payment: Cash or cash equivalent
Record ID:: 845950581
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: PSYCHIATRY
Name of Drug #1: REXULTI
Open Associated Drug #1: 59148-035-13
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Bmh Inc
4750 Yellowstone Ave
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Bmh Inc
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