Stanford T Israelsen, MD | |
508 Stocktrail Ave, Suite A, Gillette, WY 82716-3582 | |
(307) 686-1413 | |
Not Available |
Full Name | Stanford T Israelsen |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 17 Years |
Location | 508 Stocktrail Ave, Gillette, Wyoming |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093961179 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 9750A (Wyoming) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Campbell County Health | Gillette, WY | Hospital |
Weston County Health Services | Newcastle, WY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Campbell County Hospital District | 2860392529 | 110 |
Entity Name | Campbell County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710098868 PECOS PAC ID: 2860392529 Enrollment ID: O20040206000510 |
Mailing Address | Practice Location Address |
---|---|
Stanford T Israelsen, MD 508 Stocktrail Ave, Suite A, Gillette, WY 82716-3582 Ph: (307) 686-1413 | Stanford T Israelsen, MD 508 Stocktrail Ave, Suite A, Gillette, WY 82716-3582 Ph: (307) 686-1413 |
Dr. Sandra Susanne Gebhart, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2901 Powder Basin Ave, Gillette, WY 82718 Phone: 307-682-6222 Fax: 307-682-6999 | |
Robert Grunfeld, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2201 S Douglas Hwy Ste 120, Gillette, WY 82718 Phone: 800-446-9556 | |
Dr. Gerald L Baker, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 508 Stocktrail Ave, Ste A, Gillette, WY 82716 Phone: 307-686-1413 Fax: 307-682-1113 | |
Dr. Joseph Forrest Allegretto, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2901 Powder Basin Ave, Gillette, WY 82718 Phone: 307-682-6222 Fax: 307-682-6999 | |
Dr. John P Dunn, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 508 Stocktrail Ave, Suite A, Gillette, WY 82716 Phone: 307-686-1413 Fax: 307-682-1113 | |
Dr. Hans C Kioschos, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 508 Stocktrail Ave, Suite A, Gillette, WY 82716 Phone: 307-686-1413 Fax: 307-682-1113 |