| Jacob Delarosa, MD | |
|
651 Memorial Dr, Pocatello, ID 83201-4071 | |
| (208) 239-1000 | |
| Not Available |
| Full Name | Jacob Delarosa |
|---|---|
| Gender | Male |
| Speciality | Cardiac Surgery |
| Experience | 29 Years |
| Location | 651 Memorial 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 |
|---|---|---|---|
| 1083759880 | NPI | - | NPPES |
| M9019 | Other | ID | STATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | M9019 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Portneuf Medical Center | Pocatello, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pocatello Health Services Llc | 6608927637 | 154 |
| Entity Name | Pocatello Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689802852 PECOS PAC ID: 6608927637 Enrollment ID: O20090701000646 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Delarosa, MD 777 Hospital Way Ste 215, Pocatello, ID 83201-5162 Ph: (208) 239-2580 | Jacob Delarosa, MD 651 Memorial Dr, Pocatello, ID 83201-4071 Ph: (208) 239-1000 |
Shawn Allman, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1417 | |
Dr. Don E Mcinturff, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1151 Hospital Way, Building F, Pocatello, ID 83201 Phone: 208-232-1443 Fax: 208-239-3434 | |
Dr. Jarrah Alfadhli, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 777 Hospital Way Ste 101, Pocatello, ID 83201 Phone: 208-239-3899 | |
Gwendoline Fonebi, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1720 Fax: 208-239-1726 | |
Aditya Singh, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way Ste 101, Pocatello, ID 83201 Phone: 208-239-3899 | |
Sherwin D'souza, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2302 E. Terry Street, Pocatello, ID 83201 Phone: 208-235-5910 Fax: 208-235-5920 |