Mera Geis Johnson, DO | |
4116 Laramie St, Cheyenne, WY 82001-1969 | |
(307) 635-7961 | |
Not Available |
Full Name | Mera Geis Johnson |
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Gender | Female |
Speciality | Pediatrics |
Location | 4116 Laramie St, Cheyenne, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1699192963 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | DR.0058286 (Colorado) | Primary |
Entity Name | Memorial Hospital Of Laramie County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285621839 PECOS PAC ID: 1557357555 Enrollment ID: O20040423001172 |
Entity Name | Cheyenne Regional Physicians Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659458008 PECOS PAC ID: 2961403639 Enrollment ID: O20070123000486 |
Mailing Address | Practice Location Address |
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Mera Geis Johnson, DO 1202 Aruba Dr, Fort Collins, CO 80525-8858 Ph: (847) 800-0102 | Mera Geis Johnson, DO 4116 Laramie St, Cheyenne, WY 82001-1969 Ph: (307) 635-7961 |
William Joseph Horam, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2301 House Ave, Suite 405, Cheyenne, WY 82001 Phone: 307-635-7961 Fax: 307-778-5812 | |
Dr. Basavanagouda Ninganagouda Hiregoudar, M D Pediatrics Medicare: Medicare Enrolled Practice Location: 2301 House Ave, Suite 405, Cheyenne, WY 82001 Phone: 307-635-7961 | |
Dr. Andrew Brent Rose, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2301 House Ave, Suite 405, Cheyenne, WY 82001 Phone: 307-635-7961 | |
Robert W Leland, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2301 House Ave, Suite 405, Cheyenne, WY 82001 Phone: 307-635-7961 Fax: 307-778-5812 | |
Danae L Stampfli, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2301 House Ave, Suite 405, Cheyenne, WY 82001 Phone: 307-635-7961 Fax: 307-778-5812 | |
Robert R Prentice, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2301 House Ave, Suite 405, Cheyenne, WY 82001 Phone: 307-635-7961 Fax: 307-778-5812 |