Dr Erik P Johnsrud, MD | |
501 S Burma Ave, Gillette, WY 82716-3426 | |
(307) 688-1524 | |
(307) 687-7243 |
Full Name | Dr Erik P Johnsrud |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 501 S Burma Ave, Gillette, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942399910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 3820A (Wyoming) | Primary |
Entity Name | Campbell County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710098868 PECOS PAC ID: 2860392529 Enrollment ID: O20040206000510 |
Mailing Address | Practice Location Address |
---|---|
Dr Erik P Johnsrud, MD Po Box 2098, Gillette, WY 82717-2098 Ph: (307) 688-1524 | Dr Erik P Johnsrud, MD 501 S Burma Ave, Gillette, WY 82716-3426 Ph: (307) 688-1524 |
Dr. Lowell R Amiotte Ii, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3100 W Lakeway Suite 3, Northern Plains Anesthesia Associates, Gillette, WY 82718 Phone: 307-682-7819 | |
Dr. William J. Forman, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-1524 Fax: 307-687-7243 | |
Nita R. Engineer, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-1824 Fax: 732-271-3543 | |
Dr. Mark Lloyd Wisniewski, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1307 W 3rd St, #b, Gillette, WY 82716 Phone: 801-707-1874 | |
Jessica Quinlan Ratledge, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-1000 | |
Dr. John L. Mansell, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3100 W Lakeway Rd, Suite 3, Gillette, WY 82718 Phone: 307-696-2996 Fax: 307-670-8250 |