Richard Lowen Elliott, MD | |
500 South 11th Ave, Suite 206, Pocatello, ID 83201 | |
(208) 232-3480 | |
(208) 233-6585 |
Full Name | Richard Lowen Elliott |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 500 South 11th Ave, Pocatello, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184708703 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | M4909 (Idaho) | Primary |
207W00000X | Ophthalmology | GFE9724 (California) | Secondary |
Entity Name | Sharon Richens Md Eye Physician & Surgeon Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891892063 PECOS PAC ID: 4385605799 Enrollment ID: O20180306001540 |
Mailing Address | Practice Location Address |
---|---|
Richard Lowen Elliott, MD 500 South 11th Ave, Suite 206, Pocatello, ID 83201 Ph: (208) 232-3480 | Richard Lowen Elliott, MD 500 South 11th Ave, Suite 206, Pocatello, ID 83201 Ph: (208) 232-3480 |
Charles Pittman Lawless, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1777 East Clark Steet, Suite 310, Pocatello, ID 83201 Phone: 208-232-4133 Fax: 208-232-4133 | |
Gregory Scott Emfield, D.O Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 246 N 18th Ave, Pocatello, ID 83201 Phone: 208-234-4100 Fax: 208-234-4192 | |
Dr. John M Fornarotto, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 246 N 18th Ave, Pocatello, ID 83201 Phone: 208-234-4100 Fax: 208-234-4192 | |
Mr. Robert Randall Jones Jr., MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1951 Bench Rd, #c, Pocatello, ID 83201 Phone: 208-238-3377 Fax: 208-238-8091 |