Rebecca Ashley Sjostrom, MD | |
555 E Broadway Ave Ste 211, Jackson, WY 83001-8640 | |
(307) 699-6801 | |
(307) 733-6912 |
Full Name | Rebecca Ashley Sjostrom |
---|---|
Gender | Female |
Speciality | Orthopedic Surgery |
Experience | 16 Years |
Location | 555 E Broadway Ave Ste 211, Jackson, 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 |
---|---|---|---|
1760654651 | NPI | - | NPPES |
48707 | Other | CO | COLORADO MEDICAL LICENSE |
8081 | Other | AK | ALASKA MEDICAL LICENSE |
13178A | Other | WY | WY MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 8081 (Alaska) | Secondary |
207X00000X | Orthopaedic Surgery | 48707 (Colorado) | Secondary |
207X00000X | Orthopaedic Surgery | 13178A (Wyoming) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Johns Medical Center | Jackson, WY | Hospital |
Entity Name | Hole Ortho Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831871250 PECOS PAC ID: 1850745670 Enrollment ID: O20230928000328 |
Mailing Address | Practice Location Address |
---|---|
Rebecca Ashley Sjostrom, MD 970 W Broadway Ste E121, Jackson, WY 83001-6402 Ph: (307) 699-6801 | Rebecca Ashley Sjostrom, MD 555 E Broadway Ave Ste 211, Jackson, WY 83001-8640 Ph: (307) 699-6801 |
Mary C Neal, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 945 W Broadway, Jackson, WY 83001 Phone: 307-734-5999 Fax: 307-734-0345 | |
Dr. Blane A Woodfin, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925 | |
Dr. James R Champa, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925 | |
Joshua D. Beck, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 555 East Broadway, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925 | |
Dr. Peter E Rork, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925 | |
Dr. William Lighthart, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925 | |
Christopher Clayton Hills, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925 |