Mark D Prince, MD | |
921 S Ballancee Ave, Lusk, WY 82225 | |
(307) 334-4000 | |
Not Available |
Full Name | Mark D Prince |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 52 Years |
Location | 921 S Ballancee Ave, Lusk, 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 |
---|---|---|---|
1790708568 | NPI | - | NPPES |
82009A032 | Other | WY | WPS TRIWEST |
308045 | Other | WY | BLUE SHIELD |
00356 | Other | WY | WINHEALTH PARTNERS |
110187400 | Other | WY | RAILROAD MEDICARE |
114388300 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2848A (Wyoming) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Niobrara County Hospital District | Lusk, WY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Niobrara County Hospital District | 7012938780 | 6 |
Entity Name | Niobrara County Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427091347 PECOS PAC ID: 7012938780 Enrollment ID: O20060215000101 |
Entity Name | Sound Physicians Of Wyoming, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982982708 PECOS PAC ID: 8325214828 Enrollment ID: O20120105000078 |
Mailing Address | Practice Location Address |
---|---|
Mark D Prince, MD Po Box 780, Lusk, WY 82225-0780 Ph: (307) 334-4000 | Mark D Prince, MD 921 S Ballancee Ave, Lusk, WY 82225 Ph: (307) 334-4000 |
Joleen E Falkenburg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 921 S Ballancee Ave, Lusk, WY 82225 Phone: 307-334-4000 | |
Lynn Horton, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 921 S Ballancee, Lusk, WY 82225 Phone: 307-334-4000 Fax: 307-334-0183 |