Dr Melissa M Knudson-johnson, MD | |
940 E 3rd St Ste 203, Casper, WY 82601-3251 | |
(307) 333-6940 | |
(888) 964-2162 |
Full Name | Dr Melissa M Knudson-johnson |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 940 E 3rd St Ste 203, 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 |
---|---|---|---|
1518124114 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 10050A (Wyoming) | Secondary |
207R00000X | Internal Medicine | 10050A (Wyoming) | Primary |
Entity Name | Banner Hospital Based Physicians West Llc |
---|---|
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 |
---|---|
Dr Melissa M Knudson-johnson, MD 940 E 3rd St Ste 203, Casper, WY 82601-3251 Ph: (307) 333-6940 | Dr Melissa M Knudson-johnson, MD 940 E 3rd St Ste 203, Casper, WY 82601-3251 Ph: (307) 333-6940 |
Jason Dee Lovell, D.O Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 428 S Durbin St, Ste 104, Casper, WY 82601 Phone: 307-337-4284 Fax: 307-462-0922 | |
Dr. Jonna Wray Cubin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1233 E 2nd St, Casper, WY 82601 Phone: 307-333-6910 | |
Dr. Cory James Stirling, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 E A St Ste 104, Casper, WY 82601 Phone: 307-237-1900 Fax: 307-268-8514 | |
Dr. William S Shear, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1026 E 2nd St, Casper, WY 82601 Phone: 307-333-0002 Fax: 307-333-4425 | |
Mr. Henry Kenneth Fisher, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1230 E 1st St, Casper, WY 82601 Phone: 307-266-3174 Fax: 307-261-6713 | |
Mrs. Vera Lynn Nelson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 419 S Washington St, Suite 200, Casper, WY 82601 Phone: 307-265-8300 Fax: 307-265-8313 | |
Dr. Mark W Kovach, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1230 E 1st St, Casper, WY 82601 Phone: 800-445-3501 Fax: 307-266-3177 |