Kathleen Vanier, MD | |
625 E Broadway Ave Bldg B, Jackson, WY 83001-8642 | |
(307) 739-7450 | |
(307) 739-7344 |
Full Name | Kathleen Vanier |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 625 E Broadway Ave Bldg B, Jackson, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790719011 | NPI | - | NPPES |
2122987000 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A77195 (California) | Secondary |
207R00000X | Internal Medicine | 13781A (Wyoming) | Primary |
Entity Name | Teton County Hospital District |
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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 |
---|---|
Kathleen Vanier, MD Po Box 428, Jackson, WY 83001-0428 Ph: (307) 733-3636 | Kathleen Vanier, MD 625 E Broadway Ave Bldg B, Jackson, WY 83001-8642 Ph: (307) 739-7450 |
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 |