| Mr Mark Lupton, DO | |
|
700 E Alice St, Blackfoot, ID 83221-4925 | |
| (208) 785-1200 | |
| Not Available |
| Full Name | Mr Mark Lupton |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 10 Years |
| Location | 700 E Alice St, Blackfoot, 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 |
|---|---|---|---|
| 1134579576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OO-0994 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bingham Memorial Hospital | Blackfoot, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| State Of Idaho Department Of Health And Welfare | 6002878527 | 2 |
| Entity Name | Mountain View Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
| Entity Name | Cc Pocatello Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538517156 PECOS PAC ID: 8527353176 Enrollment ID: O20160822003018 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Lupton, DO Po Box 400, Blackfoot, ID 83221-0400 Ph: (208) 785-1200 | Mr Mark Lupton, DO 700 E Alice St, Blackfoot, ID 83221-4925 Ph: (208) 785-1200 |
Mr. Lance Ronald Wehrle, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-3838 Fax: 208-782-3994 | |
Dr. Francis T Johansen, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 | |
Mr. Angelo Michael Capricchione, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-3865 Fax: 208-785-3504 | |
Heather Rochelle Curtis, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-4100 | |
Anita Kadikar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-4100 |