Lance Wesley Port, PA-C in Salmon, ID - Medicare Physician Assistant

Lance Wesley Port, PA-C is a medicare enrolled "Physician Assistant - Medical" in Salmon, Idaho. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Steele Memorial Medical Center and his current practice location is 103 S Daisy St, Salmon, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 756-6212.

Lance Wesley Port is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578222188.

Contact Information

	Lance Wesley Port, PA-C
	103 S Daisy St, Salmon, ID 83467
	(208) 756-6212
	Not Available

Map and Direction

Provider's Profile

Full Name	Lance Wesley Port
Gender	Male
Speciality	Physician Assistant
Experience	5 Years
Location	103 S Daisy St, Salmon, 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.

Medical Education and Training:

Lance Wesley Port graduated from nursing school in 2021

NPI Data:

NPI Number: 1578222188
Provider Enumeration Date: 12/10/2021
Last Update Date: 12/10/2021

Medicare PECOS Information:

PECOS PAC ID: 7911394705
Enrollment ID: I20220426000835

Medical Identifiers

Medical identifiers for Lance Wesley Port such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578222188	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	(* (Not Available))	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Brio Idaho Home Health Llc	Idaho falls, ID	Home health agency
Steele Memorial Medical Center	Salmon, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Steele Memorial Medical Center	9436131265	23

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lance Wesley Port is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Lance Wesley Port, PA-C 13613 N Manning Ln, Pocatello, ID 83202-5173 Ph: (208) 479-7678	Lance Wesley Port, PA-C 103 S Daisy St, Salmon, ID 83467 Ph: (208) 756-6212

Reviews and Comments

Physician Assistant Nurses in Salmon, ID

Miss Clare Elizabeth York, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 805 Main St., Salmon, ID 83467 Phone: 208-756-6212 Fax: 208-756-6336
Austin Troy Vanorden, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 805 Main St, Salmon, ID 83467 Phone: 208-756-6212
Matthew Huff, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 203 S Daisy St, Salmon, ID 83467 Phone: 208-756-5600
Kylie Peets, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 805 Main St, Salmon, ID 83467 Phone: 208-756-6212

Lance Wesley Port, PA-C - Medicare Physician Assistant in Salmon, ID