| Derek Layne Wright, MD | |
|
465 Memorial Dr, Pocatello, ID 83201-4008 | |
| (208) 208-4700 | |
| Not Available |
| Full Name | Derek Layne Wright |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 465 Memorial Dr, 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 |
|---|---|---|---|
| 1588738769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M9718 (Idaho) | Primary |
| Entity Name | East Phillips County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891733879 PECOS PAC ID: 9638161615 Enrollment ID: O20040331000584 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Layne Wright, MD 465 Memorial Dr, Pocatello, ID 83201-4008 Ph: (208) 208-4700 | Derek Layne Wright, MD 465 Memorial Dr, Pocatello, ID 83201-4008 Ph: (208) 208-4700 |
Shayna Larae Harding, APRN Family Medicine Medicare: Medicare Enrolled Practice Location: 1133 Call Creek Dr # A, Pocatello, ID 83201 Phone: 208-232-1000 Fax: 208-232-1006 | |
Cody E Patterson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 151 N 4th Ave, Pocatello, ID 83201 Phone: 208-269-7147 Fax: 208-416-6522 | |
Dr. Bradley Yamashita Beaufort, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-282-4700 Fax: 208-282-4696 | |
Ryan Hudgens, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-232-7862 | |
Shaylor Bringhurst, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-232-7862 | |
Dr. Sharla Clark, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1951 Bench Road, Suite B, Pocatello, ID 83201 Phone: 208-238-1000 Fax: 208-238-0009 | |
Joseph Alfred Enfonde, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-282-3264 |