Benjamin Tankever Johnson, | |
2600 E 18th St, Cheyenne, WY 82001-5511 | |
(307) 633-7370 | |
(307) 637-7202 |
Full Name | Benjamin Tankever Johnson |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2600 E 18th St, Cheyenne, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235792375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 16324A (Wyoming) | Primary |
Entity Name | Memorial Hospital Of Laramie County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285621839 PECOS PAC ID: 1557357555 Enrollment ID: O20040423001172 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Tankever Johnson, 13001 E 17th Pl Bldg 500, Aurora, CO 80045-2570 Ph: (303) 724-6019 | Benjamin Tankever Johnson, 2600 E 18th St, Cheyenne, WY 82001-5511 Ph: (307) 633-7370 |
Dr. Julie Anne Toshcoff, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2360 E Pershing Blvd, Cheyenne, WY 82001 Phone: 307-778-7550 | |
Celina Frances Tolge, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2301 House Ave, Suite 203, Cheyenne, WY 82001 Phone: 307-432-0335 Fax: 307-432-0341 | |
Justin Matthew Romano, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2301 House Ave Ste 405, Cheyenne, WY 82001 Phone: 307-635-7961 | |
Tracie Caller, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2301 House Ave Ste 201, Cheyenne, WY 82001 Phone: 307-638-7757 Fax: 307-638-8399 | |
Terri Orcutt, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2360 E Pershing Blvd, Cheyenne, WY 82001 Phone: 307-778-7550 | |
Reed Clifton Shafer, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5050 Powderhouse Rd, Cheyenne, WY 82009 Phone: 307-634-1311 Fax: 307-634-1271 |