Brent Blue, MD | |
555 E Broadway Ave Ste 207, Jackson, WY 83001-8640 | |
(307) 733-8002 | |
(307) 739-4811 |
Full Name | Brent Blue |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 48 Years |
Location | 555 E Broadway Ave Ste 207, Jackson, Wyoming |
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 |
---|---|---|---|
1063467538 | NPI | - | NPPES |
102017000 | Medicaid | WY |
Facility Name | Location | Facility Type |
---|---|---|
St Johns Medical Center | Jackson, WY | Hospital |
Entity Name | Brent Blue Md |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356556518 PECOS PAC ID: 2466434113 Enrollment ID: O20040604000956 |
Mailing Address | Practice Location Address |
---|---|
Brent Blue, MD Po Box 428, Jackson, WY 83001-0428 Ph: (307) 733-8002 | Brent Blue, MD 555 E Broadway Ave Ste 207, Jackson, WY 83001-8640 Ph: (307) 733-8002 |
Dr. Robert D. Langer, M.D., M.P.H. Family Medicine Medicare: Medicare Enrolled Practice Location: 555 E. Broadway, Suite 108, Jackson, WY 83001 Phone: 307-733-4452 Fax: 877-596-6503 | |
Dr. David P Kappenman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1415 S Hwy 89, Jackson, WY 83001 Phone: 307-739-8999 | |
Dr. Kevin Sanville, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1415 S Hwy 89, Jackson, WY 83001 Phone: 307-739-8999 Fax: 307-739-9222 | |
Ms. Kathryn Manning Noyes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave Ste 108, Jackson, WY 83001 Phone: 307-734-1313 | |
Dr. James William Raniolo, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1490 Gregory Ln, Jackson, WY 83001 Phone: 307-200-4850 Fax: 888-282-0008 | |
Dr. James R Little Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1415 S Hwy 89, Jackson, WY 83001 Phone: 307-739-8999 Fax: 307-739-4811 | |
Richard Greer Sugden, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 557 E Broadway Ave, Jackson, WY 83001 Phone: 307-733-7771 Fax: 307-733-8276 |