Brian Schaffer, | |
50 Allegiance Cir, Evanston, WY 82930-3804 | |
(307) 789-3710 | |
(307) 789-0823 |
Full Name | Brian Schaffer |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 50 Allegiance Cir, Evanston, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720123771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 417 (Wyoming) | Primary |
Entity Name | Stillwater Psychology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164172375 PECOS PAC ID: 6507201290 Enrollment ID: O20240304003975 |
Mailing Address | Practice Location Address |
---|---|
Brian Schaffer, Po Box 6005, Evanston, WY 82931-6005 Ph: (307) 789-3710 | Brian Schaffer, 50 Allegiance Cir, Evanston, WY 82930-3804 Ph: (307) 789-3710 |
Dr. Pamela R Fuller, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 724 Front Street Suite 230, Evanston, WY 82930 Phone: 307-789-6773 Fax: 307-789-3244 | |
Mikaela Bernthaler, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 50 Allegiance Cir, Evanston, WY 82930 Phone: 307-789-3710 Fax: 307-789-0823 | |
Dr. Lauren Silberstein, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 50 Allegiance Cir, Evanston, WY 82930 Phone: 307-789-3710 Fax: 307-789-0823 | |
Adam K Fuller, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 191 Overthrust Rd, Evanston, WY 82930 Phone: 435-631-9918 | |
Candyce Lynn Shields, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 831 State Highway 150 S, Evanston, WY 82930 Phone: 307-789-3464 Fax: 307-789-7373 | |
Dr. Juliet L Jett, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 724 Front Street, Suite 230, Evanston, WY 82930 Phone: 307-789-6773 Fax: 307-789-3244 | |
Suzanne Petren, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 50 Allegiance Cir, Evanston, WY 82930 Phone: 307-789-3710 Fax: 307-789-0823 |