John C Klinkenborg, MD | |
634 S 3rd St, Lander, WY 82520-3708 | |
(307) 349-3149 | |
(307) 332-7300 |
Full Name | John C Klinkenborg |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 634 S 3rd St, Lander, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083777080 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5316A (Wyoming) | Primary |
207Q00000X | Family Medicine | G58074 (California) | Secondary |
Entity Name | Martin's Point Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366474611 PECOS PAC ID: 5991776635 Enrollment ID: O20040804001702 |
Mailing Address | Practice Location Address |
---|---|
John C Klinkenborg, MD 634 S 3rd St, Lander, WY 82520-3708 Ph: (307) 349-3149 | John C Klinkenborg, MD 634 S 3rd St, Lander, WY 82520-3708 Ph: (307) 349-3149 |
Dr. Demar D Hill, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 745 Buena Vista Dr, Lander, WY 82520 Phone: 307-332-2941 Fax: 307-332-1920 | |
Mr. Broc Codi White, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 745 Buena Vista Dr, Lander, WY 82520 Phone: 307-332-2941 Fax: 307-332-1920 | |
Troy R Jones, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2240 N 2nd St, Lander, WY 82520 Phone: 307-332-0910 Fax: 307-332-3203 | |
Dr. Kacie Mckenna Gallo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 745 Buena Vista Dr, Lander, WY 82520 Phone: 307-332-2941 Fax: 307-332-1920 | |
Dr. Tabitha Marie Shaw, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8195 Highway 789, Lander, WY 82520 Phone: 307-332-0206 Fax: 307-332-0479 | |
Dr. Phillip Roy Gilbertson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 8204 Wyoming Hwy 789, Lander, WY 82520 Phone: 307-335-6716 Fax: 307-335-6991 |