Dr Liam Gerhardt Clark, MD | |
2301 House Ave Ste 201, Cheyenne, WY 82001-3177 | |
(307) 638-7757 | |
Not Available |
Full Name | Dr Liam Gerhardt Clark |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 6 Years |
Location | 2301 House Ave Ste 201, Cheyenne, 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 |
---|---|---|---|
1871090837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 11441506-1205 (Utah) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 15685A (Wyoming) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cheyenne Regional Medical Center | Cheyenne, WY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cheyenne Regional Physicians Group Llc | 2961403639 | 91 |
Entity Name | Cheyenne Regional Physicians Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659458008 PECOS PAC ID: 2961403639 Enrollment ID: O20070123000486 |
Mailing Address | Practice Location Address |
---|---|
Dr Liam Gerhardt Clark, MD Po Box 20970, Cheyenne, WY 82003-7020 Ph: (307) 432-3664 | Dr Liam Gerhardt Clark, MD 2301 House Ave Ste 201, Cheyenne, WY 82001-3177 Ph: (307) 638-7757 |
Dr. Julie Anne Toshcoff, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2360 E Pershing Blvd, Cheyenne, WY 82001 Phone: 307-778-7550 | |
Celina Frances Tolge, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2301 House Ave, Suite 203, Cheyenne, WY 82001 Phone: 307-432-0335 Fax: 307-432-0341 | |
Justin Matthew Romano, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2301 House Ave Ste 405, Cheyenne, WY 82001 Phone: 307-635-7961 | |
Tracie Caller, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2301 House Ave Ste 201, Cheyenne, WY 82001 Phone: 307-638-7757 Fax: 307-638-8399 | |
Terri Orcutt, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2360 E Pershing Blvd, Cheyenne, WY 82001 Phone: 307-778-7550 | |
Benjamin Tankever Johnson, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2600 E 18th St, Cheyenne, WY 82001 Phone: 307-633-7370 Fax: 307-637-7202 | |
Reed Clifton Shafer, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5050 Powderhouse Rd, Cheyenne, WY 82009 Phone: 307-634-1311 Fax: 307-634-1271 |