Shannon Christine Roberts, MD FACOG | |
555 E Broadway Ave, Ste 108, Jackson, WY 83001-8640 | |
(307) 734-1005 | |
(307) 734-1165 |
Full Name | Shannon Christine Roberts |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 35 Years |
Location | 555 E Broadway Ave, 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 |
---|---|---|---|
1396797239 | NPI | - | NPPES |
117467300 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 6698A (Wyoming) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Johns Medical Center | Jackson, WY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gros Ventre Ob-gyn Llp | 2466541693 | 4 |
Entity Name | Gros Ventre Ob-gyn Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649451907 PECOS PAC ID: 2466541693 Enrollment ID: O20080311000518 |
Mailing Address | Practice Location Address |
---|---|
Shannon Christine Roberts, MD FACOG Po Box 1844, Jackson, WY 83001-1844 Ph: (307) 734-1005 | Shannon Christine Roberts, MD FACOG 555 E Broadway Ave, Ste 108, Jackson, WY 83001-8640 Ph: (307) 734-1005 |
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 | |
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 | |
Roger Malcom Brecheen, MD FACOG Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 555 E Broadway, Ste 201, Jackson, WY 83001 Phone: 307-733-8537 Fax: 307-733-0141 | |
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 |