Dr Dennis M Enomoto, MD | |
775 Pole Line Rd W, Suite 112, Twin Falls, ID 83301-5814 | |
(208) 814-8200 | |
(208) 933-4921 |
Full Name | Dr Dennis M Enomoto |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 43 Years |
Location | 775 Pole Line Rd W, Twin Falls, 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 |
---|---|---|---|
1649226127 | NPI | - | NPPES |
807509100 | Medicaid | ID | |
P00431080 | Other | ID | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | M9612 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
North Canyon Medical Center | Gooding, ID | Hospital |
Cassia Regional Hospital | Burley, ID | Hospital |
St Luke's Jerome | Jerome, ID | Hospital |
Minidoka Memorial Hospital | Rupert, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic Llc | 1052217478 | 274 |
Entity Name | St Lukes Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
Entity Name | Minidoka Memorial Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1679553531 PECOS PAC ID: 7315908894 Enrollment ID: O20061104000542 |
Mailing Address | Practice Location Address |
---|---|
Dr Dennis M Enomoto, MD Po Box 587, Twin Falls, ID 83303-0587 Ph: (208) 814-7400 | Dr Dennis M Enomoto, MD 775 Pole Line Rd W, Suite 112, Twin Falls, ID 83301-5814 Ph: (208) 814-8200 |
Joseph Murdock Strobel, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-4100 | |
Dr. William Stephen Lefler Jr., MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 746 N College Rd Ste A, Twin Falls, ID 83301 Phone: 208-814-7230 | |
Nagraj Narasimhan, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 350 N Haven Dr, Twin Falls, ID 83301 Phone: 208-904-4780 Fax: 208-904-4832 | |
Dr. Timothy Adam Enders, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-4100 Fax: 208-814-4908 | |
Dr. Joseph Ezer, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 775 Pole Line Rd W Ste 315, Twin Falls, ID 83301 Phone: 208-814-8750 | |
John A Baker, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W, Suite 302, Twin Falls, ID 83301 Phone: 208-814-8600 Fax: 208-814-8942 | |
Krystin Nicole Hedeen, NP Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-4100 Fax: 208-814-4908 |