Dr Richard Emery Lally, MD is a
Emergency Medicine - Emergency Medical Services physician based in Jerome, Idaho. Dr Richard Emery Lally is licensed to practice in Idaho (license number M8141) and his current practice location is 709 N Lincoln Ave, Jerome, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 324-4301.
NPI number for Dr Richard Emery Lally is 1750489647 and his current mailing address is 11020 W Amity Rd, Boise, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750489647.
Physician's Profile
| Full Name | Dr Richard Emery Lally |
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| Gender | Male |
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| Speciality | Emergency Medicine - Emergency Medical Services |
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| Location | 709 N Lincoln Ave, Jerome, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750489647
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Richard Emery Lally such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750489647 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | M8141 (Idaho) | 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. Dr Richard Emery Lally is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Richard Emery Lally, MD
11020 W Amity Rd,
Boise, ID 83709-5051
Ph: (208) 562-1664 | Dr Richard Emery Lally, MD
709 N Lincoln Ave,
Jerome, ID 83338-1851
Ph: (208) 324-4301 |
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