Lance Wesley Port, PA-C in Salmon, ID

Lance Wesley Port, PA-C is a medicare enrolled "Physician Assistant - Medical" in Salmon, Idaho. 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
Experience	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 attended and graduated from in

NPI Data:

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

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

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

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: Medicare Enrolled Practice Location: 203 S Daisy St, Salmon, ID 83467 Phone: 208-756-5600
Kylie Peets, Physician Assistant Medicare: Medicare Enrolled Practice Location: 805 Main St, Salmon, ID 83467 Phone: 208-756-6212

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