Mark L Mansfield, MD | |
110 Vista Dr, Pocatello, ID 83201-5824 | |
(208) 234-2300 | |
(208) 234-0026 |
Full Name | Mark L Mansfield |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 30 Years |
Location | 110 Vista Dr, Pocatello, 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 |
---|---|---|---|
1134113251 | NPI | - | NPPES |
000010000246 | Other | ID | BLUE SHIELD PROVIDER NUMB |
080179524 | Other | ID | RR MEDICARE PROVIDER NUMB |
DI726 | Other | ID | BLUE CROSS PROVIDER NUMBE |
804222200 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M-6799 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Encompass Health Home Health Of Eastern Idaho | Idaho falls, ID | Home health agency |
Portneuf Medical Center | Pocatello, ID | Hospital |
Lost Rivers Medical Center | Arco, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Primary Care Specialists Pa | 4082699574 | 5 |
Entity Name | Bmh Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255539193 PECOS PAC ID: 8426149758 Enrollment ID: O20071018000897 |
Entity Name | Primary Care Specialists Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508875881 PECOS PAC ID: 4082699574 Enrollment ID: O20210323002420 |
Mailing Address | Practice Location Address |
---|---|
Mark L Mansfield, MD 110 Vista Dr, Pocatello, ID 83201-5824 Ph: (208) 234-2300 | Mark L Mansfield, MD 110 Vista Dr, Pocatello, ID 83201-5824 Ph: (208) 234-2300 |
Shayna Larae Harding, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1133 Call Creek Dr # A, Pocatello, ID 83201 Phone: 208-232-1000 Fax: 208-232-1006 | |
Cody E Patterson, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 151 N 4th Ave, Pocatello, ID 83201 Phone: 208-269-7147 Fax: 208-416-6522 | |
Dr. Bradley Yamashita Beaufort, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-282-4700 Fax: 208-282-4696 | |
Ryan Hudgens, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-232-7862 | |
Shaylor Bringhurst, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-232-7862 | |
Dr. Sharla Clark, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1951 Bench Road, Suite B, Pocatello, ID 83201 Phone: 208-238-1000 Fax: 208-238-0009 | |
Marie Elwood, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 465 Memorial Dr, Pocatello, ID 83201 Phone: 208-232-7862 |