Rocky Mountain Infectious Diseases | |
1450 E A St Ste 1 & 2 Casper WY 82601-2239 | |
(307) 234-8700 | |
(307) 234-8750 |
Full Name | Rocky Mountain Infectious Diseases |
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Speciality | Internal Medicine |
Location | 1450 E A St, Casper, Wyoming |
Authorized Official Name and Position | Brandy R Haskins (FINANCIAL MANAGER) |
Authorized Official Contact | 3072348700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rocky Mountain Infectious Diseases 1450 E A St Ste 1 & 2 Casper WY 82601-2239 Ph: (307) 234-8700 | Rocky Mountain Infectious Diseases 1450 E A St Ste 1 & 2 Casper WY 82601-2239 Ph: (307) 234-8700 |
NPI Number | 1497833180 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 08/23/2022 |
Medicare PECOS PAC ID | 6608862354 |
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Medicare Enrollment ID | O20040420001721 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497833180 | NPI | - | NPPES |
115259900 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 5197A (Wyoming) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | 6725430001 (Wyoming) | Secondary |
Provider Name | Mark E Dowell |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1922186733 PECOS PAC ID: 5698761344 Enrollment ID: I20040430000432 |
Provider Name | Ghazi A Ghanem |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1669540423 PECOS PAC ID: 2163421116 Enrollment ID: I20061220000430 |
Provider Name | Martin H Ellbogen |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1578580593 PECOS PAC ID: 2062413917 Enrollment ID: I20070120000100 |
Provider Name | Alexandru P David |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1427202381 PECOS PAC ID: 5597907352 Enrollment ID: I20130808000099 |
Provider Name | Marsha R Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164679254 PECOS PAC ID: 9133203375 Enrollment ID: I20131120000227 |
Provider Name | Brittani Leann Hill |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831821818 PECOS PAC ID: 4082095567 Enrollment ID: I20220714001815 |
Provider Name | Kara Willenburg |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1972705150 PECOS PAC ID: 7012053861 Enrollment ID: I20230622000447 |
Wyocity Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 940 E 3rd St Ste 205, Casper, WY 82601 Phone: 307-394-1341 | |
Gunflint Eye Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10577 Bishop Rd, Casper, WY 82604 Phone: 307-439-0100 | |
Community Health Center Of Central Wyoming Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Blackmore Rd, Casper, WY 82609 Phone: 307-233-6092 | |
Western Medical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2546 E 2nd St, Suite 600, Casper, WY 82609 Phone: 307-265-3737 Fax: 307-265-3700 | |
Mind Of Peace Counseling Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 S Durbin St, Casper, WY 82601 Phone: 308-631-6066 | |
Rocky Mountain Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5840 E 2nd St. Suite 200, Casper, WY 82601 Phone: 307-315-6133 Fax: 307-315-6134 | |
Imed Hrs Casper Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1233 E 2nd St, Casper, WY 82601 Phone: 801-507-3500 |