| Caleb Despain Wilson, MD | |
|
2210 King Blvd, Casper, WY 82604-3165 | |
| (307) 577-4240 | |
| (307) 577-0012 |
| Full Name | Caleb Despain Wilson |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 13 Years |
| Location | 2210 King Blvd, Casper, Wyoming |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881951440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 11045A (Wyoming) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wyoming Medical Center | Casper, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wyoming Otolaryngology, P.c. | 4082696570 | 6 |
| Entity Name | Wyoming Otolaryngology, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578511036 PECOS PAC ID: 4082696570 Enrollment ID: O20040607001416 |
| Mailing Address | Practice Location Address |
|---|---|
| Caleb Despain Wilson, MD 2210 King Blvd, Casper, WY 82604-3165 Ph: (307) 577-4240 | Caleb Despain Wilson, MD 2210 King Blvd, Casper, WY 82604-3165 Ph: (307) 577-4240 |
Eugene P Podrazik, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2210 King Blvd., Casper, WY 82604 Phone: 307-577-4242 Fax: 307-577-0012 | |
David Copeland Norcross, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2210 King Blvd, Casper, WY 82604 Phone: 307-577-4240 Fax: 307-577-0012 | |
Brittany Sara Greenbaum, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2210 King Blvd, Casper, WY 82604 Phone: 307-577-4240 Fax: 307-577-0012 |