Mr Lawrence Edward Kirven, MD | |
497 W Lott St, Buffalo, WY 82834-1609 | |
(307) 684-2228 | |
(307) 684-2177 |
Full Name | Mr Lawrence Edward Kirven |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 497 W Lott St, Buffalo, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346228483 | NPI | - | NPPES |
303643 | Other | WY | BLUE CROSS |
1047122300 | Medicaid | WY | |
302645 | Other | WY | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 3776A (Wyoming) | Primary |
Entity Name | Family Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285612317 PECOS PAC ID: 1557344371 Enrollment ID: O20040611000248 |
Mailing Address | Practice Location Address |
---|---|
Mr Lawrence Edward Kirven, MD 497 West Lott, Buffalo, WY 82834-1609 Ph: (307) 684-2228 | Mr Lawrence Edward Kirven, MD 497 W Lott St, Buffalo, WY 82834-1609 Ph: (307) 684-2228 |
Mr. Hermilo Gonzalez Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 497 W Lott St, Buffalo, WY 82834 Phone: 307-684-2228 Fax: 307-684-2177 | |
Mr. Brian Mitchell Darnell, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 497 W Lott, Buffalo, WY 82834 Phone: 307-684-2228 Fax: 307-684-2177 | |
Ms. Grace Marie Gosar, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 497 W Lott St, Buffalo, WY 82834 Phone: 307-684-2228 Fax: 307-684-2177 | |
Mr. Aubrey Dozier Tabb, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 497 W Lott St, Buffalo, WY 82834 Phone: 307-684-2228 Fax: 307-684-2177 | |
Dr. Jennifer Ann Rice, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 497 W Lott St, Buffalo, WY 82834 Phone: 307-684-2228 Fax: 307-684-2177 | |
Mr. Mark Steven Schueler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 497 West Lott, Buffalo, WY 82834 Phone: 307-684-2228 Fax: 307-684-2177 |