Dr Luis Fernandez, MD | |
2850 Olympus Dr., Pocatello, ID 83201 | |
(208) 239-3815 | |
(208) 239-3814 |
Full Name | Dr Luis Fernandez |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 34 Years |
Location | 2850 Olympus Dr., 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 |
---|---|---|---|
1841299302 | NPI | - | NPPES |
805465900 | Medicaid | ID | |
J7871 | Other | ID | BLUE CROSS (DW) |
J7855 | Other | ID | BLUE CROSS (LV) |
J7863 | Other | ID | BLUE CROSS (AF) |
52282 | Other | ID | BLUE CROSS OF ID (AB) |
B5763 | Other | ID | BLUE CROSS (MC) |
J7889 | Other | ID | BLUE CROSS (PO) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M8581 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Encompass Health Home Health Of Eastern Idaho | Idaho falls, ID | Home health agency |
Heritage Home Health | Pocatello, ID | Home health agency |
Signature Healthcare At Home Of S E Idaho | Chubbuck, ID | Home health agency |
Portneuf Medical Center | Pocatello, ID | Hospital |
Power County Hospital District | American falls, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pocatello Health Services Llc | 6608927637 | 153 |
Entity Name | Pocatello Health Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689802852 PECOS PAC ID: 6608927637 Enrollment ID: O20090701000646 |
Mailing Address | Practice Location Address |
---|---|
Dr Luis Fernandez, MD 2850 Olympus Dr., Pocatello, ID 83201 Ph: (208) 239-3815 | Dr Luis Fernandez, MD 2850 Olympus Dr., Pocatello, ID 83201 Ph: (208) 239-3815 |
Shayna Larae Harding, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1133 Call Creek Dr # A, Pocatello, ID 83201 Phone: 208-232-1000 Fax: 208-232-1006 | |
Cody E Patterson, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 151 N 4th Ave, Pocatello, ID 83201 Phone: 208-269-7147 Fax: 208-416-6522 | |
Dr. Bradley Yamashita Beaufort, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-282-4700 Fax: 208-282-4696 | |
Ryan Hudgens, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-232-7862 | |
Shaylor Bringhurst, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-232-7862 | |
Dr. Sharla Clark, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1951 Bench Road, Suite B, Pocatello, ID 83201 Phone: 208-238-1000 Fax: 208-238-0009 | |
Marie Elwood, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-232-7862 |