Glenn Edward Burnett Ii, MD | |
555 E Broadway Ave Ste 201, Jackson, WY 83001-8640 | |
(307) 733-7222 | |
(307) 733-9720 |
Full Name | Glenn Edward Burnett Ii |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 32 Years |
Location | 555 E Broadway Ave Ste 201, Jackson, 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 |
---|---|---|---|
1467400747 | NPI | - | NPPES |
150006600 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 11577A (Wyoming) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St John's Home Care | Jackson, WY | Home health agency |
St Johns Medical Center | Jackson, WY | Hospital |
Star Valley Medical Center | Afton, WY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Proactive Therapy, Inc | 0143245415 | 61 |
Teton County Hospital District | 4880582295 | 106 |
Entity Name | Teton County Hospital District |
---|---|
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 |
---|---|
Glenn Edward Burnett Ii, MD Po Box 428, Jackson, WY 83001-0428 Ph: (307) 733-2722 | Glenn Edward Burnett Ii, MD 555 E Broadway Ave Ste 201, Jackson, WY 83001-8640 Ph: (307) 733-7222 |
Mrs. Blythe Elizabeth Cox, PA C Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway, Suite 229, Jackson, WY 83001 Phone: 307-732-1039 Fax: 307-732-1041 | |
Michael Abram Tenofsky, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 625 E Broadway Ave, Jackson, WY 83001 Phone: 307-733-3636 Fax: 888-329-5701 | |
Dr. Cynthia L Archer, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1335 Arena Rd Unit 1, Jackson, WY 83001 Phone: 602-697-7790 Fax: 602-697-7790 | |
Dr. Martha Gene Stearn, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave Ste 207, Jackson, WY 83001 Phone: 307-733-8002 | |
Mark Matthew Neimat, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 625 E Broadway Ave, Jackson, WY 83001 Phone: 307-733-3636 Fax: 888-329-5701 | |
Anna Bramley Catino, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave Ste 229, Jackson, WY 83001 Phone: 307-739-7690 Fax: 307-739-4960 | |
William Mullen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave Ste 229, Jackson, WY 83001 Phone: 307-739-7690 Fax: 307-739-4960 |