| Bailey Johnson, MD | |
|
3116 Willett Dr, Laramie, WY 82072-5048 | |
| (307) 755-4540 | |
| (307) 755-4539 |
| Full Name | Bailey Johnson |
|---|---|
| Gender | Female |
| Speciality | Orthopaedic Surgery - Sports Medicine |
| Location | 3116 Willett Dr, Laramie, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659803963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 125071064 (Illinois) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 16372A (Wyoming) | Primary |
| Entity Name | Ivinson Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033628599 PECOS PAC ID: 8325304447 Enrollment ID: O20171213002021 |
| Mailing Address | Practice Location Address |
|---|---|
| Bailey Johnson, MD 3116 Willett Dr, Laramie, WY 82072-5048 Ph: (307) 755-4540 | Bailey Johnson, MD 3116 Willett Dr, Laramie, WY 82072-5048 Ph: (307) 755-4540 |
Dr. Mark E. Mckenna, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1909 Vista Dr, Laramie, WY 82070 Phone: 307-745-8851 Fax: 307-742-0961 | |
Dr. Lawrence A Jenkins, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1909 Vista Dr, Laramie, WY 82070 Phone: 307-745-8851 Fax: 307-742-0961 | |
Larry Vengenderen, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1909 Vista Dr, Laramie, WY 82070 Phone: 307-745-8851 Fax: 307-742-0961 | |
Dr. Richard B Southwell, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1909 Vista Dr, Laramie, WY 82070 Phone: 307-745-8851 Fax: 307-742-0961 | |
Dr. John Horberg, M.D Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1909 Vista Dr, Laramie, WY 82070 Phone: 307-745-8851 Fax: 307-742-0961 | |
Ryan A Aukerman, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1909 Vista Dr, Laramie, WY 82070 Phone: 307-745-8851 Fax: 307-742-0961 | |
Dr. Daniel F Levene, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1909 Vista Dr, Laramie, WY 82070 Phone: 307-745-8851 Fax: 307-742-0961 |