D Michael Kellam, MD | |
800 E 20th St, Suite 110, Cheyenne, WY 82001-3859 | |
(307) 634-7711 | |
Not Available |
Full Name | D Michael Kellam |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 800 E 20th 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 |
---|---|---|---|
1982648937 | NPI | - | NPPES |
306010 | Other | WY | BCBS OF WYOMING CRG |
91042192 | Medicaid | CO | |
104015400 | Medicaid | WY | |
303602 | Other | WY | BCBS OF WYOMING MRI |
Entity Name | Cheyenne Mri Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689613572 PECOS PAC ID: 6507756798 Enrollment ID: O20040319000673 |
Entity Name | Cheyenne Radiology Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023056082 PECOS PAC ID: 1951293844 Enrollment ID: O20040607000625 |
Entity Name | Cwip Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154774529 PECOS PAC ID: 0840588752 Enrollment ID: O20161010000699 |
Mailing Address | Practice Location Address |
---|---|
D Michael Kellam, MD 800 E 20th St, Suite 110, Cheyenne, WY 82001-3859 Ph: (307) 634-7711 | D Michael Kellam, MD 800 E 20th St, Suite 110, Cheyenne, WY 82001-3859 Ph: (307) 634-7711 |
William D Ketcham, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 E 20th St, Suite 110, Cheyenne, WY 82001 Phone: 307-634-7711 | |
James G Hubbard, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 E 20th St, Suite 110, Cheyenne, WY 82001 Phone: 307-634-7711 | |
Eric Richard Hoyer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2003 Bluegrass Circle, Cheyenne, WY 82009 Phone: 307-634-7711 | |
Subashini T Furman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 310 E 24th St, Cheyenne, WY 82001 Phone: 307-634-9311 Fax: 307-634-5627 | |
Mrs. Sarah Elizabeth Matney, RT (R) (CT) Radiology Medicare: Not Enrolled in Medicare Practice Location: 214 E 23rd St, Cheyenne, WY 82001 Phone: 307-634-7800 | |
Dr. Jeffrey C Carlton, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 214 E 23rd St, Cheyenne, WY 82001 Phone: 307-633-7823 Fax: 307-633-7818 | |
Dr. Donald Wesley Cain, M.D., M.S. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2003 Bluegrass Cir, Cheyenne, WY 82009 Phone: 307-634-7711 |