Dr Ismaeel Mohamed Bakhsh, MD | |
1020 Conwell St., Casper, WY 82601-3921 | |
(516) 808-1917 | |
Not Available |
Full Name | Dr Ismaeel Mohamed Bakhsh |
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Gender | Male |
Speciality | Pediatrics |
Location | 1020 Conwell St., Casper, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184243685 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 15479A (Wyoming) | Primary |
Entity Name | Banner Health Physicians West Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063778728 PECOS PAC ID: 5092978866 Enrollment ID: O20120607000123 |
Entity Name | Banner Hospital Based Physicians West Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619464120 PECOS PAC ID: 5799131579 Enrollment ID: O20231031001364 |
Mailing Address | Practice Location Address |
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Dr Ismaeel Mohamed Bakhsh, MD 1020 Conwell St., Casper, WY 82601-3921 Ph: (516) 808-1917 | Dr Ismaeel Mohamed Bakhsh, MD 1020 Conwell St., Casper, WY 82601-3921 Ph: (516) 808-1917 |
Diane R Edwards, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 915 S David, Casper, WY 82601 Phone: 307-472-3769 | |
Robert Anthony Vigneri, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 940 E 3rd St, Suite 203, Casper, WY 82601 Phone: 307-577-0465 Fax: 307-577-0469 | |
Dr. Lucase H Wang, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1300 E A St Ste 206, Casper, WY 82601 Phone: 307-265-2400 Fax: 307-265-2566 | |
Dr. Shelley C Springer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 940 E 3rd St Ste 205, Casper, WY 82601 Phone: 307-577-4260 Fax: 307-577-4263 | |
Dr. Melissa M. Knudson-johnson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 940 E 3rd St Ste 203, Casper, WY 82601 Phone: 307-333-6940 Fax: 888-964-2162 | |
Dr. Sarah G Grooms, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5000 Blackmore Rd, Casper, WY 82609 Phone: 307-233-6000 Fax: 307-233-6088 |