Dr John M Fornarotto, MD | |
246 N 18th Ave, Pocatello, ID 83201-3356 | |
(208) 234-4100 | |
(208) 234-4192 |
Full Name | Dr John M Fornarotto |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 41 Years |
Location | 246 N 18th Ave, 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 |
---|---|---|---|
1598750838 | NPI | - | NPPES |
002738900 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | M6417 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Portneuf Medical Center | Pocatello, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
John Fornarotto Pllc | 2860419561 | 2 |
Entity Name | John Fornarotto Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790838662 PECOS PAC ID: 2860419561 Enrollment ID: O20081015000136 |
Mailing Address | Practice Location Address |
---|---|
Dr John M Fornarotto, MD 246 N 18th Ave, Pocatello, ID 83201-3356 Ph: (208) 234-4100 | Dr John M Fornarotto, MD 246 N 18th Ave, Pocatello, ID 83201-3356 Ph: (208) 234-4100 |
Richard Lowen Elliott, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 500 South 11th Ave, Suite 206, Pocatello, ID 83201 Phone: 208-232-3480 Fax: 208-233-6585 | |
Charles Pittman Lawless, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1777 East Clark Steet, Suite 310, Pocatello, ID 83201 Phone: 208-232-4133 Fax: 208-232-4133 | |
Gregory Scott Emfield, D.O Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 246 N 18th Ave, Pocatello, ID 83201 Phone: 208-234-4100 Fax: 208-234-4192 | |
Mr. Robert Randall Jones Jr., MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1951 Bench Rd, #c, Pocatello, ID 83201 Phone: 208-238-3377 Fax: 208-238-8091 |