| Dr Michael Rooney, MD | |
|
415 6th St, Lewiston, ID 83501-2431 | |
| (208) 743-2511 | |
| (208) 799-5528 |
| Full Name | Dr Michael Rooney |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Medical Oncology |
| Location | 415 6th St, Lewiston, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093753360 | NPI | - | NPPES |
| 002649400 | Medicaid | ID | |
| HB112 | Other | ID | BLUE CROSS OF IDAHO |
| 10004623 | Other | ID | REGENCE OF IDAHO |
| 8616708 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RX0202X | Internal Medicine - Medical Oncology | M-4745 (Idaho) | Primary |
| Entity Name | St Joseph Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043744287 PECOS PAC ID: 8325325806 Enrollment ID: O20170524000865 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Rooney, MD Po Box 816, Lewiston, ID 83501-0816 Ph: (208) 743-2511 | Dr Michael Rooney, MD 415 6th St, Lewiston, ID 83501-2431 Ph: (208) 743-2511 |
Robert Alan Wales, MD, FACC Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2315 8th St Grade, Lewiston, ID 83501 Phone: 509-455-8820 Fax: 509-227-7070 | |
David B Souvenir, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-750-7204 Fax: 208-746-0134 | |
Jane A Fore, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 Sixth St, Lewiston, ID 83501 Phone: 208-750-7445 | |
Dr. Heather Fowler Cumbo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-750-7445 | |
Sushma Pant, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1250 Idaho Street, Lewiston, ID 83501 Phone: 208-743-7427 Fax: 208-743-7421 | |
Dr. William Westel Rowe, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-750-7507 |