Lore Beth Wootton, MD | |
683 E 3rd St, Weiser, ID 83672-2248 | |
(208) 549-0211 | |
(208) 549-0104 |
Full Name | Lore Beth Wootton |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 32 Years |
Location | 683 E 3rd St, Weiser, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649365404 | NPI | - | NPPES |
804102100 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M-7162 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Horizon Home Health | Meridian, ID | Home health agency |
Canyon Home Care & Hospice | Fruitland, ID | Home health agency |
Weiser Memorial Hospital | Weiser, ID | Hospital |
St Luke's Regional Medical Center | Boise, ID | Hospital |
Saint Alphonsus Medical Center - Ontario, Inc | Ontario, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Two Rivers Medical Clinic, Pa | 8628065950 | 3 |
Entity Name | Two Rivers Medical Clinic, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376662486 PECOS PAC ID: 8628065950 Enrollment ID: O20040428001375 |
Mailing Address | Practice Location Address |
---|---|
Lore Beth Wootton, MD Po Box 871, Weiser, ID 83672-0871 Ph: (208) 549-0211 | Lore Beth Wootton, MD 683 E 3rd St, Weiser, ID 83672-2248 Ph: (208) 549-0211 |
Dr. Bryan L Drake, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 360 E Liberty St, Weiser, ID 83672 Phone: 208-414-1124 Fax: 208-414-0947 | |
Deland Ray Barr, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 683 E 3rd St, Weiser, ID 83672 Phone: 208-549-0211 Fax: 208-549-0104 | |
Jordan V Blanchard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 360 E. Liberty, Weiser, ID 83672 Phone: 208-414-1124 Fax: 208-414-0947 | |
Dr. Suzanna Dyann Hubele, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 683 E 3rd St, Weiser, ID 83672 Phone: 208-549-0211 Fax: 208-549-0104 | |
Dr. Bradley Wescott Terry, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 360 E Liberty St, Weiser, ID 83672 Phone: 208-549-4424 |