Trevor Zac Irvine, DO | |
1522 E A St, Casper, WY 82601-2217 | |
(307) 234-6161 | |
Not Available |
Full Name | Trevor Zac Irvine |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 6 Years |
Location | 1522 E A St, Casper, 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 |
---|---|---|---|
1821658345 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 8331186-1204 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwest Utah Community Health Center | 5799692398 | 26 |
Entity Name | Southwest Utah Community Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659358687 PECOS PAC ID: 5799692398 Enrollment ID: O20050412000991 |
Mailing Address | Practice Location Address |
---|---|
Trevor Zac Irvine, DO 25 N 100 E, Ste 102, St George, UT 84770-7369 Ph: (435) 986-2565 | Trevor Zac Irvine, DO 1522 E A St, Casper, WY 82601-2217 Ph: (307) 234-6161 |
Zachory Fred Deiss, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1522 E A St, Casper, WY 82601 Phone: 307-234-6161 | |
Philip Gard, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1522 E A St, Casper, WY 82601 Phone: 307-234-6161 | |
Dr. Johnny M Tooke, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2241 Farnum Ste 105, Casper, WY 82609 Phone: 307-266-1263 Fax: 307-265-0410 | |
Larissa Faith Gray, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 1522 E A St, Casper, WY 82601 Phone: 307-234-6161 | |
Adam Linck, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 S. Conwell Street, Casper, WY 82601 Phone: 307-265-8300 Fax: 307-233-8230 | |
Renae Marie Hepfner, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1522 E A St, Casper, WY 82601 Phone: 307-234-6161 | |
Sherrill A Fox, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 E 2nd St, Suite 200, Casper, WY 82609 Phone: 307-577-5100 Fax: 307-234-1201 |