Mary Donovan Moreno, MD | |
1465 N 4th St, Suite 119, Laramie, WY 82072-2066 | |
(307) 721-0700 | |
(307) 721-1039 |
Full Name | Mary Donovan Moreno |
---|---|
Gender | Female |
Speciality | Psychiatry |
Experience | 33 Years |
Location | 1465 N 4th St, Laramie, Wyoming |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548359946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 6594A (Wyoming) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ivinson Memorial Hospital | Laramie, WY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ivinson Memorial Hospital | 8325304447 | 49 |
Entity Name | Ark Regional Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023344942 PECOS PAC ID: 4486794518 Enrollment ID: O20091221000326 |
Entity Name | Ivinson Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033628599 PECOS PAC ID: 8325304447 Enrollment ID: O20171213002021 |
Mailing Address | Practice Location Address |
---|---|
Mary Donovan Moreno, MD 712 S 24th St, Laramie, WY 82070-4919 Ph: (307) 755-9737 | Mary Donovan Moreno, MD 1465 N 4th St, Suite 119, Laramie, WY 82072-2066 Ph: (307) 721-0700 |
Dr. Joseph Gerard Schaaf, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 255 N 30th St, Laramie, WY 82072 Phone: 307-742-2142 Fax: 307-755-4307 | |
Dr. Angela Imperial Howdeshell, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1263 N 15th St, Peak Wellness Center- Albany Branch, Laramie, WY 82072 Phone: 307-745-8915 Fax: 307-745-8761 | |
Christopher B Reyburn, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1277 N 15th St, Laramie, WY 82072 Phone: 307-742-6222 Fax: 307-742-6414 |