Mrs Martha S Hageman, MD | |
122 Petersen Pkwy, Ste 4, Thayne, WY 83127 | |
(307) 883-5852 | |
(307) 883-4436 |
Full Name | Mrs Martha S Hageman |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 33 Years |
Location | 122 Petersen Pkwy, Thayne, 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 |
---|---|---|---|
1033395561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5751A (Wyoming) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Symbii Home Health | Afton, WY | Home health agency |
Premier Home Health Inc | Thayne, WY | Home health agency |
Star Valley Medical Center | Afton, WY | Hospital |
St Johns Medical Center | Jackson, WY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Lincoln County Hospital District | 4789580218 | 51 |
Entity Name | North Lincoln County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730132523 PECOS PAC ID: 4789580218 Enrollment ID: O20031208000415 |
Mailing Address | Practice Location Address |
---|---|
Mrs Martha S Hageman, MD 122 Petersen Pkwy, Ste 4, Thayne, WY 83127 Ph: (307) 883-5852 | Mrs Martha S Hageman, MD 122 Petersen Pkwy, Ste 4, Thayne, WY 83127 Ph: (307) 883-5852 |
Matthew Bryce Roberts, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 122 Petersen Pkwy, Thayne, WY 83127 Phone: 307-883-5852 Fax: 866-972-4881 | |
Mr. Donald J Kirk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 122 Petersen Pkwy, Ste. 4, Thayne, WY 83127 Phone: 307-883-5852 Fax: 307-883-4436 |