Marc F Domsky, DO | |
625 E Broadway, Jackson, WY 83001 | |
(307) 739-7218 | |
Not Available |
Full Name | Marc F Domsky |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 38 Years |
Location | 625 E Broadway, 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 |
---|---|---|---|
1821103268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 6732A (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 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487818605 PECOS PAC ID: 4880582295 Enrollment ID: O20040308000954 |
Entity Name | Grand Anesthesiology Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477567246 PECOS PAC ID: 3375583586 Enrollment ID: O20050506000544 |
Mailing Address | Practice Location Address |
---|---|
Marc F Domsky, DO Po Box 13130, Jackson, WY 83002-3130 Ph: () - | Marc F Domsky, DO 625 E Broadway, Jackson, WY 83001 Ph: (307) 739-7218 |
Charles Lee Payne, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 970 W Broadway # 378, Jackson, WY 83001 Phone: 307-734-6956 | |
Philip C Blum, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 150 Buffalo Way, Jackson, WY 83002 Phone: 307-733-8677 | |
Dr. David J Tomlinson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 625 E Broadway, Jackson, WY 83002 Phone: 307-739-7218 Fax: 307-739-7446 |