Mary C Neal, MD | |
945 W Broadway, Jackson, WY 83001 | |
(307) 734-5999 | |
(307) 734-0345 |
Full Name | Mary C Neal |
---|---|
Gender | Female |
Speciality | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine |
Location | 945 W Broadway, 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 |
---|---|---|---|
1053476242 | NPI | - | NPPES |
313180 | Other | WY | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 6101A (Wyoming) | Primary |
Entity Name | Mary C Neal Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588729776 PECOS PAC ID: 9638137466 Enrollment ID: O20041228000196 |
Mailing Address | Practice Location Address |
---|---|
Mary C Neal, MD Po Box 7369, Jackson, WY 83002-7369 Ph: (307) 734-5999 | Mary C Neal, MD 945 W Broadway, Jackson, WY 83001 Ph: (307) 734-5999 |
Dr. Blane A Woodfin, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925 | |
Dr. James R Champa, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925 | |
Joshua D. Beck, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 555 East Broadway, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925 | |
Dr. Peter E Rork, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925 | |
Dr. William Lighthart, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925 | |
Christopher Clayton Hills, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925 |