| Aida R Polson, MD | |
|
777 Avenue H, Powell, WY 82435-2260 | |
| (307) 754-7257 | |
| (307) 754-7730 |
| Full Name | Aida R Polson |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 37 Years |
| Location | 777 Avenue H, Powell, Wyoming |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881649655 | NPI | - | NPPES |
| 1881649655 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M-9474 (Idaho) | Secondary |
| 207R00000X | Internal Medicine | 7734A (Wyoming) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Powell Valley Hospital | Powell, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Powell Valley Health Care Inc | 5092798561 | 29 |
| Entity Name | Powell Valley Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699721316 PECOS PAC ID: 5092798561 Enrollment ID: O20040608000424 |
| Mailing Address | Practice Location Address |
|---|---|
| Aida R Polson, MD 777 Avenue H, Powell, WY 82435 Ph: (307) 754-7257 | Aida R Polson, MD 777 Avenue H, Powell, WY 82435-2260 Ph: (307) 754-7257 |
Brittany Christensen, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Avenue H, Powell, WY 82435 Phone: 307-754-2267 | |
Michael D Tracy, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 450 Mountain View St, Powell, WY 82435 Phone: 307-754-7257 Fax: 307-754-7217 | |
Carletta Collins, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Avenue H, Powell, WY 82435 Phone: 307-754-7257 Fax: 307-754-7217 | |
Brian D. Kelly, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Avenue H, Powell, WY 82435 Phone: 307-754-2267 Fax: 307-754-7217 | |
Juanita Sapp, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 128 N Bent St, Powell, WY 82435 Phone: 307-765-4107 Fax: 307-764-1892 |