Michael R Bruno, MD | |
1233 E 2nd St, Casper, WY 82601-2926 | |
(307) 333-6910 | |
(307) 333-6912 |
Full Name | Michael R Bruno |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1233 E 2nd St, Casper, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316961238 | NPI | - | NPPES |
104863500 | Medicaid | WY | |
930013243 | Other | WY | RAILRAOD MEDICARE |
305752 | Other | WY | BLUE SHIELD |
82601D022 | Other | WY | WPS TRIWEST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4186A (Wyoming) | Primary |
Entity Name | Southeastern Utah Emergency Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407331127 PECOS PAC ID: 0244571651 Enrollment ID: O20190412000700 |
Mailing Address | Practice Location Address |
---|---|
Michael R Bruno, MD Po Box 50770, Casper, WY 82605-0770 Ph: (307) 333-6910 | Michael R Bruno, MD 1233 E 2nd St, Casper, WY 82601-2926 Ph: (307) 333-6910 |
Dr. Jerry Robert Realing, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1233 E 2nd St, Casper, WY 82601 Phone: 307-333-6910 Fax: 307-333-6912 | |
Dr. Ryan Scott Benson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1233 E 2nd St, Casper, WY 82601 Phone: 307-333-6910 Fax: 307-333-6912 | |
Makenzie Volker Bartsch, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2510 E 15th St Ste 12, Casper, WY 82609 Phone: 307-333-6910 Fax: 307-333-6912 | |
Dr. Travis Paul Washut, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1233 E 2nd St, Casper, WY 82601 Phone: 307-333-6910 Fax: 307-333-6912 | |
Joel M Pull, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4450 E 24th St, Casper, WY 82609 Phone: 307-254-2472 | |
Dr. David B Tarullo, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1233 E 2nd St, Casper, WY 82601 Phone: 307-577-2222 |