307 Psychiatry | |
1541 Diamond Dr Casper WY 82601-6247 | |
(307) 217-8799 | |
(888) 436-7342 |
Full Name | 307 Psychiatry |
---|---|
Speciality | Psychiatry & Neurology |
Location | 1541 Diamond Dr, Casper, Wyoming |
Authorized Official Name and Position | Brian Schlidt (PHYSICIAN) |
Authorized Official Contact | 3072178799 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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307 Psychiatry 2961 Custer Ave Billings MT 59102-4522 Ph: (307) 262-4735 | 307 Psychiatry 1541 Diamond Dr Casper WY 82601-6247 Ph: (307) 217-8799 |
NPI Number | 1972388981 |
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Provider Enumeration Date | 08/28/2023 |
Last Update Date | 09/25/2024 |
Certification Date | 09/25/2024 |
Medicare PECOS PAC ID | 7618322850 |
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Medicare Enrollment ID | O20231009002098 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972388981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Brian Anthony Schlidt |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1386208841 PECOS PAC ID: 3577896182 Enrollment ID: I20231009002524 |
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