Dr Michael Rooney, MD | |
415 6th St, Lewiston, ID 83501-2431 | |
(208) 743-2511 | |
(208) 799-5528 |
Full Name | Dr Michael Rooney |
---|---|
Gender | Male |
Speciality | Internal Medicine - Medical Oncology |
Location | 415 6th St, Lewiston, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093753360 | NPI | - | NPPES |
002649400 | Medicaid | ID | |
HB112 | Other | ID | BLUE CROSS OF IDAHO |
10004623 | Other | ID | REGENCE OF IDAHO |
8616708 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RX0202X | Internal Medicine - Medical Oncology | M-4745 (Idaho) | Primary |
Entity Name | St Joseph Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043744287 PECOS PAC ID: 8325325806 Enrollment ID: O20170524000865 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Rooney, MD Po Box 816, Lewiston, ID 83501-0816 Ph: (208) 743-2511 | Dr Michael Rooney, MD 415 6th St, Lewiston, ID 83501-2431 Ph: (208) 743-2511 |
Robert Alan Wales, MD, FACC Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2315 8th St Grade, Lewiston, ID 83501 Phone: 509-455-8820 Fax: 509-227-7070 | |
David B Souvenir, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-750-7204 Fax: 208-746-0134 | |
Jane A Fore, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 Sixth St, Lewiston, ID 83501 Phone: 208-750-7445 | |
Dr. Heather Fowler Cumbo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-750-7445 | |
Sushma Pant, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1250 Idaho Street, Lewiston, ID 83501 Phone: 208-743-7427 Fax: 208-743-7421 | |
Dr. William Westel Rowe, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-750-7507 |