Sandra Slade Mossbrook, MD is a
General Practice physician based in Lander, Wyoming. Sandra Slade Mossbrook is licensed to practice in Wyoming (license number 3296A) and her current practice location is 8204 State Highway 789, Lander, Wyoming. She can be reached at her office (for appointments etc.) via phone at
(307) 335-6716.
NPI number for Sandra Slade Mossbrook is 1134297310 and her current mailing address is 4251 Valley Green Circle, Riverton, Wyoming. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134297310.
Physician's Profile
Full Name | Sandra Slade Mossbrook |
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Gender | Female |
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Speciality | General Practice |
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Location | 8204 State Highway 789, Lander, Wyoming |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134297310
- Provider Enumeration Date: 12/04/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Sandra Slade Mossbrook such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134297310 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 3296A (Wyoming) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sandra Slade Mossbrook is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sandra Slade Mossbrook, MD 4251 Valley Green Circle, Riverton, WY 82501-5453 Ph: (307) 856-5600 | Sandra Slade Mossbrook, MD 8204 State Highway 789, Lander, WY 82520-2941 Ph: (307) 335-6716 |
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