Mrs Gabriele Susanne Knierim, MD | |
5000 Blackmore Rd, Casper, WY 82609-3345 | |
(307) 233-6000 | |
(307) 233-6089 |
Full Name | Mrs Gabriele Susanne Knierim |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 5000 Blackmore Rd, 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 |
---|---|---|---|
1366420499 | NPI | - | NPPES |
313415 | Other | WY | BLUE CROSS |
120742300 | Medicaid | WY | |
313395 | Other | WY | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 7157A (Wyoming) | Primary |
Entity Name | Medi Horizons Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154342921 PECOS PAC ID: 6305750134 Enrollment ID: O20031117000449 |
Mailing Address | Practice Location Address |
---|---|
Mrs Gabriele Susanne Knierim, MD 5000 Blackmore Rd, Casper, WY 82609-3345 Ph: (307) 233-6000 | Mrs Gabriele Susanne Knierim, MD 5000 Blackmore Rd, Casper, WY 82609-3345 Ph: (307) 233-6000 |
Zachory Fred Deiss, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1522 E A St, Casper, WY 82601 Phone: 307-234-6161 | |
Philip Gard, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1522 E A St, Casper, WY 82601 Phone: 307-234-6161 | |
Dr. Johnny M Tooke, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2241 Farnum Ste 105, Casper, WY 82609 Phone: 307-266-1263 Fax: 307-265-0410 | |
Larissa Faith Gray, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 1522 E A St, Casper, WY 82601 Phone: 307-234-6161 | |
Adam Linck, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 S. Conwell Street, Casper, WY 82601 Phone: 307-265-8300 Fax: 307-233-8230 | |
Renae Marie Hepfner, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1522 E A St, Casper, WY 82601 Phone: 307-234-6161 | |
Sherrill A Fox, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 E 2nd St, Suite 200, Casper, WY 82609 Phone: 307-577-5100 Fax: 307-234-1201 |