| Kelly Dilorenzo, MD | |
|
100 Hospital Dr, Ketchum, ID 83340 | |
| (208) 727-8100 | |
| Not Available |
| Full Name | Kelly Dilorenzo |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 100 Hospital Dr, Ketchum, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376937318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | DR.0062366 (Colorado) | Secondary |
| 207P00000X | Emergency Medicine | M-16542 (Idaho) | Primary |
| Entity Name | Minidoka Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679553531 PECOS PAC ID: 7315908894 Enrollment ID: O20050801000086 |
| Entity Name | Minidoka Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1679553531 PECOS PAC ID: 7315908894 Enrollment ID: O20061104000542 |
| Entity Name | St Lukes Clinic - Wood River Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972891604 PECOS PAC ID: 3173783818 Enrollment ID: O20120404000474 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Dilorenzo, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Kelly Dilorenzo, MD 100 Hospital Dr, Ketchum, ID 83340 Ph: (208) 727-8100 |
Kevin Kittleson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Drive, Ketchum, ID 83340 Phone: 208-727-8100 | |
Dr. Janet Anne Rosenquist, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Drive., Ketchum, ID 83340 Phone: 208-727-8100 Fax: 208-727-8124 | |
Keith Thomas Sivertson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Hospital Drive, Ketchum, ID 83340 Phone: 208-727-8445 Fax: 298-727-8446 | |
Deborah G Robertson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Hospital Drive, Ketchum, ID 83340 Phone: 208-727-8100 | |
Dr. Jennie Hooper, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Ketchum, ID 83340 Phone: 208-727-8283 | |
Mrs. Autumn M Loomis, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Hospital Dr, Ketchum, ID 83340 Phone: 208-727-8100 |