Dr Shelley C Springer, MD | |
940 E 3rd St Ste 205, Casper, WY 82601 | |
(307) 577-4260 | |
(307) 577-4263 |
Full Name | Dr Shelley C Springer |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 940 E 3rd St Ste 205, 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 |
---|---|---|---|
1326037151 | NPI | - | NPPES |
472157C8A9 | Medicaid | WY | |
000000648182 | Other | IN | ANTHEM |
200370490 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 04-30620 (Kansas) | Secondary |
208000000X | Pediatrics | 9791A (Wyoming) | Primary |
Entity Name | Pediatrix Medical Group Of Texas Billing Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649377359 PECOS PAC ID: 0042283921 Enrollment ID: O20110907001264 |
Mailing Address | Practice Location Address |
---|---|
Dr Shelley C Springer, MD 6061 River Park Dr, Casper, WY 82604-5319 Ph: (612) 685-6709 | Dr Shelley C Springer, MD 940 E 3rd St Ste 205, Casper, WY 82601 Ph: (307) 577-4260 |
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. Ismaeel Mohamed Bakhsh, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1020 Conwell St., Casper, WY 82601 Phone: 516-808-1917 | |
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. 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 |