Gregory Gerritt Marino, DO | |
1401 W 5th St, Sheridan, WY 82801-2705 | |
(307) 674-6022 | |
(307) 674-5405 |
Full Name | Gregory Gerritt Marino |
---|---|
Gender | Male |
Speciality | Internal Medicine - Hematology & Oncology |
Location | 1401 W 5th St, Sheridan, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023054285 | NPI | - | NPPES |
MD4548 | Medicaid | AK | |
134828100 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | 4548 (Alaska) | Secondary |
207RH0003X | Internal Medicine - Hematology & Oncology | 9050A (Wyoming) | Primary |
Entity Name | Alaska Native Tribal Health Consortium |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772 |
Mailing Address | Practice Location Address |
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Gregory Gerritt Marino, DO 1401 W 5th St, Sheridan, WY 82801-2705 Ph: (307) 674-6022 | Gregory Gerritt Marino, DO 1401 W 5th St, Sheridan, WY 82801-2705 Ph: (307) 674-6022 |
Erin Marie Henderson, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 61 S Gould St, Sheridan, WY 82801 Phone: 307-675-2690 Fax: 307-675-2691 | |
Abigail Turnbough, Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 1333 W 5th St Ste 203, Sheridan, WY 82801 Phone: 307-675-4474 Fax: 307-675-4475 | |
Dr. Allison Dawson, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 1333 W 5th St Ste 112, Sheridan, WY 82801 Phone: 307-675-2650 Fax: 307-675-2651 | |
Dr. Hannah Marie Hall, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1333 W 5th St, Ste 112, Sheridan, WY 82801 Phone: 307-675-2650 Fax: 307-675-2651 | |
Dr. Stephen Scott Tenney, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 1898 Fort Rd, Sheridan, WY 82801 Phone: 307-672-3473 Fax: 307-672-1900 | |
Dr. Bill M Williams, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 1456 W 5th St, Sheridan, WY 82801 Phone: 307-672-5881 Fax: 307-672-1766 |