Debra Mae Anderson, MD | |
2710 E Harney St Suite 100, Laramie Physicians For Children, Laramie, WY 82072-2884 | |
(307) 721-3118 | |
(307) 721-4880 |
Full Name | Debra Mae Anderson |
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Gender | Female |
Speciality | Pediatrics |
Location | 2710 E Harney St Suite 100, Laramie, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346284320 | NPI | - | NPPES |
110108100 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 5481A (Wyoming) | Primary |
Entity Name | Memorial Hospital Of Sweetwater County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558361949 PECOS PAC ID: 0244124550 Enrollment ID: O20040209000957 |
Mailing Address | Practice Location Address |
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Debra Mae Anderson, MD 2710 E Harney St Suite 100, Laramie Physicians For Children, Laramie, WY 82072-2884 Ph: (307) 721-3118 | Debra Mae Anderson, MD 2710 E Harney St Suite 100, Laramie Physicians For Children, Laramie, WY 82072-2884 Ph: (307) 721-3118 |
Kent Kleppinger, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1252 N 22nd St, Suite B, Laramie, WY 82072 Phone: 307-745-3704 Fax: 307-745-7237 | |
Kelly Ginger Follett, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 255 N 30th St, Laramie, WY 82072 Phone: 307-755-4540 | |
John Scott Harris, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1353 N 5th St, Laramie, WY 82072 Phone: 509-254-1237 | |
Dr. Vijaya Madhavi Koduri, MBBS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1252 N 22nd St, Laramie, WY 82072 Phone: 307-745-3704 Fax: 307-745-7237 | |
Dr. Joanne E. Steane, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 E University Ave, Dept. 3068, Laramie, WY 82071 Phone: 307-766-2130 Fax: 307-766-2711 |