Gerardo Midence, MD | |
1250 Idaho Street, Lewiston, ID 83501 | |
(208) 743-7427 | |
(208) 743-7121 |
Full Name | Gerardo Midence |
---|---|
Gender | Male |
Speciality | Hematology/oncology |
Experience | 40 Years |
Location | 1250 Idaho Street, Lewiston, 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 |
---|---|---|---|
1215981832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RX0202X | Internal Medicine - Medical Oncology | M-8750 (Idaho) | Primary |
207RX0202X | Internal Medicine - Medical Oncology | MD00042019 (Washington) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Regional Medical Center | Lewiston, ID | Hospital |
Clearwater Valley Hospital & Clinics | Orofino, ID | Hospital |
Gritman Medical Center | Moscow, ID | Hospital |
St Marys Hospital And Clinics | Cottonwood, ID | Hospital |
Syringa General Hospital | Grangeville, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Joseph Hospital Llc | 8325325806 | 43 |
St Joseph Hospital Llc | 8325325806 | 43 |
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 |
---|---|
Gerardo Midence, MD Po Box 816, Lewiston, ID 83501-0816 Ph: (208) 743-2511 | Gerardo Midence, MD 1250 Idaho Street, Lewiston, ID 83501 Ph: (208) 743-7427 |
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. Michael Rooney, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-799-5528 | |
Dr. William Westel Rowe, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-750-7507 |