Dr Barry Michael Wohl, MD | |
916 Jackson Ave, Sheridan, WY 82801-2708 | |
(307) 675-5555 | |
(307) 675-5599 |
Full Name | Dr Barry Michael Wohl |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 916 Jackson Ave, Sheridan, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851375547 | NPI | - | NPPES |
00941001 | Other | WY | BC BS GROUP NUMBER |
0193235 | Other | TX | MEDICA INSURANCE TX |
7705130 | Medicaid | SD | |
830245718 | Medicaid | NE | |
53D0673733 | Other | CLIA GROUP NUMBER | |
100048900 | Other | WY | WY MEDICAID GROUP NUMBER |
2829A | Other | WY | WY MEDICAL LICENSE |
419BMW98 | Other | WY | WY CONTROLLED SUBSTANCE |
100798000 | Medicaid | WY | |
301605 | Other | WY | BLUE CROSS BLUE SHIELD WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2829A (Wyoming) | Primary |
Entity Name | Northeast Wyoming Pediatric Associates, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114998259 PECOS PAC ID: 8820167224 Enrollment ID: O20080527000054 |
Mailing Address | Practice Location Address |
---|---|
Dr Barry Michael Wohl, MD 916 Jackson Ave, Sheridan, WY 82801-2708 Ph: (307) 675-5555 | Dr Barry Michael Wohl, MD 916 Jackson Ave, Sheridan, WY 82801-2708 Ph: (307) 675-5555 |
Mary I Bowers, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1701 W 5th St, Ste A, Sheridan, WY 82801 Phone: 307-672-7700 | |
Dr. Michael Quintin Sanderson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 916 Jackson Ave, Sheridan, WY 82801 Phone: 307-675-5555 Fax: 307-675-5599 | |
Suzanne E K Oss, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 916 Jackson Ave, Sheridan, WY 82801 Phone: 307-675-5555 Fax: 307-675-5599 | |
Colleen R. Shaw, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 916 Jackson Avenue, Sheridan, WY 82801 Phone: 307-675-5555 Fax: 307-675-5599 |