Roger Malcom Brecheen, MD FACOG | |
555 E Broadway, Ste 201, Jackson, WY 83001 | |
(307) 733-8537 | |
(307) 733-0141 |
Full Name | Roger Malcom Brecheen |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 555 E Broadway, Jackson, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720039357 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 5262A (Wyoming) | Primary |
Entity Name | Humboldt General Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922152784 PECOS PAC ID: 5193709798 Enrollment ID: O20040614000195 |
Mailing Address | Practice Location Address |
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Roger Malcom Brecheen, MD FACOG Po Box 15570, Jackson, WY 83002 Ph: (307) 733-8537 | Roger Malcom Brecheen, MD FACOG 555 E Broadway, Ste 201, Jackson, WY 83001 Ph: (307) 733-8537 |
Shirl Douglas George, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave Ste 108, Jackson, WY 83001 Phone: 307-734-1313 Fax: 307-734-0314 | |
Dr. Henry Thomas Smith, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 230 East Broadway, Jackson, WY 83001 Phone: 307-733-1122 Fax: 307-734-9577 | |
Shannon Christine Roberts, MD FACOG Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave, Ste 108, Jackson, WY 83001 Phone: 307-734-1005 Fax: 307-734-1165 | |
Dr. Camille Stephanie Mellijor-figg, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 430 S Cache St, Jackson, WY 83001 Phone: 307-201-1489 | |
Maura Jean Lofaro, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave, Suite 108, Jackson, WY 83001 Phone: 307-734-1005 Fax: 307-734-1165 | |
Ann M Fenn, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 62 Redmond St, Jackson, WY 83002 Phone: 307-734-1313 Fax: 307-734-0314 |