2985 CORTEZ AVE
IDAHO FALLS, ID 83404-2985 US PECOS Enrolled
Overview
Patrick D Gorman is a Cardiologist in the IDAHO FALLS area and has over 39 years of experience. Patrick D Gorman primary office location is at 2985 CORTEZ AVE and new patients are welcome to contact this healthcare provider for an appointment. He attended Uniformed Services Uhs Fe Hebert School Of Med and graduated 1985
Patrick D Gorman is affiliated with five hospitals in the IDAHO FALLS area, including EASTERN IDAHO REGIONAL MEDICAL CENTER. The NPI number is 1295735769 and the information was updated approximately 9 years ago.
Patrick D Gorman is part of four medical groups, including IDAHO HEART INSTITUTE PC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| F86110 | MD |
| M-8388 | ID |
| M8388 | ID |
| Board Certifications |
|---|
| Internal Medicine |
| Type/Issuer | Identifier | State |
|---|---|---|
| CIGNA | 1103740 | - |
| EDS CONSULTEC, INC. | 118682500 | WY |
| BC OF IDAHO | 46763 | - |
| MEDICAID | 118682500 | WY |
| BS OF IDAHO | 000010136417 | - |
| RAILROAD MEDICARE | 060067151 | - |
| MEDICAID | 806232000 | ID |
| Taxonomy | State | Primary? |
|---|---|---|
| Cardiologist - Taxonomy Code 207RC0000X | ID | Y |
| Cardiologist - Taxonomy Code 207RC0000X | ID | N |
| Cardiologist - Taxonomy Code 207RC0000X | MD | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20040507000624 |
| PECOS Individual PAC ID: | 1254320054 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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