| Lance Spencer Longmore, DO | |
|
1515 E Clark St, Pocatello, ID 83201-4133 | |
| (208) 233-2273 | |
| (208) 417-0272 |
| Full Name | Lance Spencer Longmore |
|---|---|
| Gender | Male |
| Speciality | Cardiac Electrophysiology |
| Experience | 20 Years |
| Location | 1515 E Clark St, 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 |
|---|---|---|---|
| 1447266267 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bear Lake Memorial Hospital | Montpelier, ID | Hospital |
| Nell J Redfield Memorial Hospital | Malad, ID | Hospital |
| Portneuf Medical Center | Pocatello, ID | Hospital |
| Power County Hospital District | American falls, ID | Hospital |
| Bingham Memorial Hospital | Blackfoot, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cardiovascular Specialists Of America Llc | 1557773934 | 3 |
| Entity Name | Family Practice Group, P.A. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205869310 PECOS PAC ID: 1658275391 Enrollment ID: O20031124000431 |
| Entity Name | Cardiovascular Specialists of America LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871190215 PECOS PAC ID: 1557773934 Enrollment ID: O20201208002277 |
| Mailing Address | Practice Location Address |
|---|---|
| Lance Spencer Longmore, DO 1515 E Clark St, Pocatello, ID 83201-4133 Ph: (208) 233-2273 | Lance Spencer Longmore, DO 1515 E Clark St, Pocatello, ID 83201-4133 Ph: (208) 233-2273 |
Jacob Delarosa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 651 Memorial Dr, Pocatello, ID 83201 Phone: 208-239-1000 |
Dr. Don E Mcinturff, M.D. Internal Medicine 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 Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 777 Hospital Way Ste 101, Pocatello, ID 83201 Phone: 208-239-3899 |
Gwendoline Fonebi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1720 Fax: 208-239-1726 |
Aditya Singh, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way Ste 101, Pocatello, ID 83201 Phone: 208-239-3899 |
Dr. Boston David Murdoch, DO Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-2481 Fax: 208-239-3691 |
Sherwin D'souza, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2302 E. Terry Street, Pocatello, ID 83201 Phone: 208-235-5910 Fax: 208-235-5920 |