| Shaloam Ofisa, DC, MS | |
|
1800 Flandro Dr, Suite 130, Pocatello, ID 83202 | |
| (208) 221-2973 | |
| Not Available |
| Full Name | Shaloam Ofisa |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 12 Years |
| Location | 1800 Flandro Dr, 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 |
|---|---|---|---|
| 1952713166 | NPI | - | NPPES |
| 1952713166 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIA-1603 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Art Of Motion Chiropractic And Sports Medicine Pllc | 8527288612 | 2 |
| Provider Name | Art Of Motion Chiropractic And Sports Medicine Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780096990 PECOS PAC ID: 8527288612 Enrollment ID: O20141014000394 |
| Provider Name | Health Atlast Pocatello Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235789249 PECOS PAC ID: 0749512457 Enrollment ID: O20191030001540 |
| Mailing Address | Practice Location Address |
|---|---|
| Shaloam Ofisa, DC, MS 1800 Flandro Dr, Suite 130, Pocatello, ID 83202-4912 Ph: (208) 242-3723 | Shaloam Ofisa, DC, MS 1800 Flandro Dr, Suite 130, Pocatello, ID 83202 Ph: (208) 221-2973 |
Dr. Jessie Dean Smith, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 115 S. 15th, Suite C, Pocatello, ID 83201 Phone: 208-232-7558 Fax: 208-232-7549 | |
Dr. Darrell Wade Davis, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1155 Yellowstone Ave, Ste. F, Pocatello, ID 83201 Phone: 208-238-0002 | |
Dr. Robert E Ward Iii, DC, NMD Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 135 Warren Ave, Pocatello, ID 83201 Phone: 208-241-6510 Fax: 208-234-2052 | |
Ward Clinic Pa Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2186 Colonial Ln, Pocatello, ID 83201 Phone: 208-221-2225 Fax: 208-232-9485 | |
Barry M Smith, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 456 Fairway Dr, Pocatello, ID 83201 Phone: 208-637-0248 | |
Jonathan Franklin Hitchcock, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2010 Flandro Dr, Pocatello, ID 83202 Phone: 208-351-5588 Fax: 208-238-0603 | |
Hitchcock Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 2010 Flandro Dr, Pocatello, ID 83202 Phone: 208-351-5588 Fax: 208-238-0603 |