| Dr Andrew Lee Vincent, DO | |
|
777 Hospital Way, Pocatello, ID 83201-5175 | |
| (208) 417-7569 | |
| (480) 421-9899 |
| Full Name | Dr Andrew Lee Vincent |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 16 Years |
| Location | 777 Hospital Way, 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 |
|---|---|---|---|
| 1487974424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 125058092 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | 0-1550 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Portneuf Medical Center | Pocatello, ID | Hospital |
| Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Minidoka Memorial Hospital | Rupert, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Physicians Integrated Care Llc | 4284548116 | 207 |
| Osf Multi-specialty Group | 3678889789 | 2110 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710156922 PECOS PAC ID: 1850209420 Enrollment ID: O20040325001015 |
| Entity Name | Minidoka Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679553531 PECOS PAC ID: 7315908894 Enrollment ID: O20050801000086 |
| Entity Name | Minidoka Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1679553531 PECOS PAC ID: 7315908894 Enrollment ID: O20061104000542 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811357023 PECOS PAC ID: 6608056171 Enrollment ID: O20160803003292 |
| Entity Name | Rocky Mountain Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851808133 PECOS PAC ID: 7911267133 Enrollment ID: O20180208002103 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrew Lee Vincent, DO Po Box 30180, Salt Lake City, UT 84130-0180 Ph: () - | Dr Andrew Lee Vincent, DO 777 Hospital Way, Pocatello, ID 83201-5175 Ph: (208) 417-7569 |
Kenneth Ryan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 651 Memorial Dr, Pocatello, ID 83201 Phone: 208-239-1000 | |
Dr. Kristopher Ryan Shannon, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Yellowstone Ave, Pocatello, ID 83201 Phone: 208-239-8065 | |
Randall Fowler, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 651 Memorial Dr, Pocatello, ID 83201 Phone: 208-239-1000 | |
Dr. Jordon Marshall, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 777 Hospital Way, Emergency Department, Pocatello, ID 83201 Phone: 208-239-1801 | |
Dr. Morgan Newel Anderson, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 | |
Charles O Garrison, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1125 W Alameda Rd, Pocatello, ID 83201 Phone: 208-237-1151 Fax: 208-237-9721 |