| Big Horn Pediatrics | |
|
1308 W 4th St Gillette WY 82716-3330 | |
| (307) 687-1300 | |
| (307) 682-1309 |
| Full Name | Big Horn Pediatrics |
|---|---|
| Speciality | Pediatrics |
| Location | 1308 W 4th St, Gillette, Wyoming |
| Authorized Official Name and Position | Ann L Edwards (OFFICE MANAGER) |
| Authorized Official Contact | 3076871300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Horn Pediatrics 1308 W 4th St Gillette WY 82716-3330 Ph: (307) 687-1300 | Big Horn Pediatrics 1308 W 4th St Gillette WY 82716-3330 Ph: (307) 687-1300 |
| NPI Number | 1477660447 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 07/27/2020 |
| Medicare PECOS PAC ID | 3971923137 |
|---|---|
| Medicare Enrollment ID | O20201009001141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477660447 | NPI | - | NPPES |
| 830306207 | Other | WY | TAX I.D.# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
| Provider Name | Aubrey D Tabb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316925456 PECOS PAC ID: 3779644331 Enrollment ID: I20081202000251 |
Family Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 407 S Medical Arts Ct Ste D, Gillette, WY 82716 Phone: 307-686-0308 Fax: 307-686-7420 | |
Family Medical Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 709 W 8th Street, Suite 4, Gillette, WY 82716 Phone: 307-682-3333 Fax: 307-682-6723 | |
Wyoming Medical Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 51 Town Center Dr Ste 120, Gillette, WY 82718 Phone: 307-682-9962 Fax: 307-257-2930 | |
Antelope Medical Consultants Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 430 S Medical Arts Ct, Gillette, WY 82716 Phone: 307-682-7661 Fax: 307-682-5074 | |
Campbell County Clinics Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-3636 Fax: 307-688-7920 | |
R & R Chiropractic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 W 8th St, Gillette, WY 82716 Phone: 307-689-6277 | |
Hoskinson Health & Wellness Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 469 Highway 50, Gillette, WY 82718 Phone: 307-387-9850 |