Holbrook Stoecklein, | |
625 E Broadway Ave, Jackson, WY 83001-0428 | |
(307) 733-3636 | |
(877) 205-2024 |
Full Name | Holbrook Stoecklein |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 11 Years |
Location | 625 E Broadway Ave, 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 |
---|---|---|---|
1780927541 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 10673A (Wyoming) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Johns Medical Center | Jackson, WY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
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 |
Entity Name | University Of Utah Adult Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104204361 PECOS PAC ID: 0941525273 Enrollment ID: O20150625001685 |
Mailing Address | Practice Location Address |
---|---|
Holbrook Stoecklein, Po Box 428, Jackson, WY 83001-0428 Ph: (307) 733-3636 | Holbrook Stoecklein, 625 E Broadway Ave, Jackson, WY 83001-0428 Ph: (307) 733-3636 |
Dr. William R Smith, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 625 E Broadway, Jackson, WY 83001 Phone: 307-733-3636 | |
Dr. Richard A Mckay, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 625 E Broadway St, Jackson, WY 83001 Phone: 307-733-3636 | |
Dr. Adam Johnson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 625 E Broadway Ave, Jackson, WY 83001 Phone: 307-739-7250 Fax: 307-739-7249 | |
Brent Blue, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave Ste 207, Jackson, WY 83001 Phone: 307-733-8002 Fax: 307-739-4811 | |
Jennifer J Fritch, PA Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1415 S Hwy 89, Jackson, WY 83001 Phone: 307-739-8999 Fax: 307-739-4811 | |
Rathna Raju-swami, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 155 East Pearl Street, Suite 12, Jackson, WY 83002 Phone: 307-733-2350 Fax: 307-733-2953 | |
Dr. Alton Parker, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 555 E. Broadway #212, Jackson, WY 83001 Phone: 307-733-3321 |