Dr Kevin Robert Mahoney, MD | |
120 N C Ave, Thermopolis, WY 82443-2410 | |
(307) 864-5534 | |
(307) 864-9470 |
Full Name | Dr Kevin Robert Mahoney |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 30 Years |
Location | 120 N C Ave, Thermopolis, Wyoming |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164494241 | NPI | - | NPPES |
110846800 | Medicaid | WY | |
512KRM98 | Other | WY | WY CONTROLLED SUBSTANCE # |
5591AWY | Other | WY | WY MEDICAL LICENSE # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5591AWY (Wyoming) | Secondary |
207P00000X | Emergency Medicine | 5591A (Wyoming) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sagewest Health Care | Riverton, WY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwest Emergency Physicians Llc | 3476462334 | 183 |
Entity Name | Hot Springs County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861550642 PECOS PAC ID: 9234020439 Enrollment ID: O20040324001069 |
Entity Name | Memorial Hospital Of Sheridan County |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487707188 PECOS PAC ID: 2163405440 Enrollment ID: O20040608001286 |
Entity Name | Northwest Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235172370 PECOS PAC ID: 3476462334 Enrollment ID: O20060227000540 |
Mailing Address | Practice Location Address |
---|---|
Dr Kevin Robert Mahoney, MD 120 N C Ave, Thermopolis, WY 82443-2410 Ph: (307) 864-5534 | Dr Kevin Robert Mahoney, MD 120 N C Ave, Thermopolis, WY 82443-2410 Ph: (307) 864-5534 |
Mr. William Bolton, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 820 S 14th St, Thermopolis, WY 82443 Phone: 307-864-5420 |