Thomas H Etter, DO | |
902 Blackburn St, Cody, WY 82414-8494 | |
(307) 296-1355 | |
(307) 586-5464 |
Full Name | Thomas H Etter |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 18 Years |
Location | 902 Blackburn St, Cody, 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 |
---|---|---|---|
1154562791 | NPI | - | NPPES |
28058 | Other | MO | GHP |
921792 | Other | MO | HEALTHLINK INC |
1154562791 | Medicaid | MO | |
622086 | Other | MO | ANTHEM BLUECROSS BLUESHIELD |
9847314 | Other | MO | AETNA |
12740475 | Other | MO | PHCS |
12740475 | Other | MO | MULTIPLAN |
3032610 | Other | MO | UNITED HEALTHCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | TL2094 (Wyoming) | Secondary |
208600000X | Surgery | 2006003130 (Missouri) | Secondary |
208600000X | Surgery | 9334A (Wyoming) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cody Regional Health | Cody, WY | Hospital |
Powell Valley Hospital | Powell, WY | Hospital |
Billings Clinic | Billings, MT | Hospital |
St Vincent Healthcare | Billings, MT | Hospital |
Entity Name | Cody Surgical Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326679432 PECOS PAC ID: 7911337423 Enrollment ID: O20200424001222 |
Entity Name | Thomas Etter Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275113706 PECOS PAC ID: 0840684726 Enrollment ID: O20220221000226 |
Mailing Address | Practice Location Address |
---|---|
Thomas H Etter, DO 902 Blackburn St, Cody, WY 82414-8494 Ph: (307) 296-1355 | Thomas H Etter, DO 902 Blackburn St, Cody, WY 82414-8494 Ph: (307) 296-1355 |
Dr. Rebecca Anne Deal, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 424 Yellowstone Ave, Cody, WY 82414 Phone: 307-578-2975 | |
James L Johnson Ii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 125 W Yellowstone Ave, Cody, WY 82414 Phone: 307-527-7129 Fax: 307-587-7394 | |
Charles G Welch, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1613 Stampede Ave, Suite A, Cody, WY 82414 Phone: 307-587-9800 Fax: 307-587-9830 | |
Dr. William S Evans, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 424 Yellowstone Ave, Ste 2d, Cody, WY 82414 Phone: 307-578-2947 Fax: 307-578-2492 |