| Ali Sue Haines Weiss, MD | |
|
1320 Bishop Randall Dr, Lander, WY 82520-3939 | |
| (307) 332-4420 | |
| Not Available |
| Full Name | Ali Sue Haines Weiss |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1320 Bishop Randall Dr, Lander, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821617416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | 17285A (Wyoming) | Secondary |
| 207Q00000X | Family Medicine | 17285A (Nebraska) | Primary |
| Entity Name | Riverton Physician Practices, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205875614 PECOS PAC ID: 8426954496 Enrollment ID: O20040505000232 |
| Mailing Address | Practice Location Address |
|---|---|
| Ali Sue Haines Weiss, MD 1320 Bishop Randall Dr, Lander, WY 82520-3939 Ph: (307) 332-4420 | Ali Sue Haines Weiss, MD 1320 Bishop Randall Dr, Lander, WY 82520-3939 Ph: (307) 332-4420 |
Mr. Broc Codi White, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 745 Buena Vista Dr, Lander, WY 82520 Phone: 307-332-2941 Fax: 307-332-1920 | |
John C Klinkenborg, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 634 S 3rd St, Lander, WY 82520 Phone: 307-349-3149 Fax: 307-332-7300 | |
Troy R Jones, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2240 N 2nd St, Lander, WY 82520 Phone: 307-332-0910 Fax: 307-332-3203 | |
Dr. Kacie Mckenna Gallo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 745 Buena Vista Dr, Lander, WY 82520 Phone: 307-332-2941 Fax: 307-332-1920 | |
Dr. Tabitha Marie Shaw, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8195 Highway 789, Lander, WY 82520 Phone: 307-332-0206 Fax: 307-332-0479 | |
Dr. Phillip Roy Gilbertson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 8204 Wyoming Hwy 789, Lander, WY 82520 Phone: 307-335-6716 Fax: 307-335-6991 | |
Dr. Douglas Rex Phipps, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 745 Buena Vista Dr, Lander, WY 82520 Phone: 307-332-2941 Fax: 307-332-2068 |