Dr Michael Ward Rosenberg, MD | |
555 E Broadway Ave, Suite #229, Jackson, WY 83001-8640 | |
(307) 739-7690 | |
(307) 739-7644 |
Full Name | Dr Michael Ward Rosenberg |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 555 E Broadway Ave, Jackson, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659345221 | NPI | - | NPPES |
00953517 | Medicaid | NY | |
P01354282 | Other | WY | PALMETTO GBA MRR |
127072900 | Medicaid | WY | |
W26174 | Other | WY | NORIDIAN MEDICARE SJMC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 8000A (Wyoming) | Primary |
208600000X | Surgery | M-10577 (Idaho) | Secondary |
208600000X | Surgery | 147502 (New York) | Secondary |
Entity Name | Teton County Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487818605 PECOS PAC ID: 4880582295 Enrollment ID: O20040308000954 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Ward Rosenberg, MD Po Box 428, Jackson, WY 83001-0428 Ph: (307) 739-7690 | Dr Michael Ward Rosenberg, MD 555 E Broadway Ave, Suite #229, Jackson, WY 83001-8640 Ph: (307) 739-7690 |
Dr. Loren Douglas Nelson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 445 Flat Creek Dr # 3999, Jackson, WY 83001 Phone: 305-542-9038 | |
P George Poore, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 555 East Broadway Ste 212, Jackson, WY 83001 Phone: 307-739-4662 Fax: 307-733-7679 | |
John C Payne, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave Ste 211, Jackson, WY 83001 Phone: 307-739-7618 Fax: 307-734-0077 | |
Laura Beth Cooper, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 260 N Millward St, Jackson, WY 83001 Phone: 307-699-3115 | |
Roland Fleck, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway, Suite 212, Jackson, WY 83001 Phone: 307-733-7677 Fax: 307-733-7679 | |
George Linhardt Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1205 W Hay Sled Dr, Jackson, WY 83001 Phone: 410-507-3310 |