Lars T Conway, MD is a medicare enrolled "Pathology - Anatomic Pathology" physician in Jackson, Wyoming. His current practice location is
625 E Broadway Ave, Jackson, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 733-6418.
Lars T Conway is licensed to practice in Wyoming (license number 9164A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679534432.
Physician's Profile
| Full Name | Lars T Conway |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 625 E Broadway Ave, Jackson, Wyoming |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lars T Conway attended and graduated from in
NPI Data:
- NPI Number: 1679534432
- Provider Enumeration Date: 03/31/2006
- Last Update Date: 11/20/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Lars T Conway such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679534432 | NPI | - | NPPES |
| 220007425 | Other | MN | RR MEDICARE |
| 936780200 | Medicaid | MN | |
| 03069C0 | Other | MN | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZC0500X | Pathology - Cytopathology | 27443 (Minnesota) | Secondary |
| 207ZP0101X | Pathology - Anatomic Pathology | 27443 (Minnesota) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | M-12068 (Idaho) | Secondary |
| 207ZP0101X | Pathology - Anatomic Pathology | 9164A (Wyoming) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lars T Conway is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lars T Conway, MD
Po Box 4940, 625 E Broadway,
Jackson, WY 83001-4940
Ph: (307) 733-6418 | Lars T Conway, MD
625 E Broadway Ave,
Jackson, WY 83001-8642
Ph: (307) 733-6418 |
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