Daulton K Grube, MD in Cheyenne, WY

Daulton K Grube, MD is a medicare enrolled "Pediatrics" physician in Cheyenne, Wyoming. His current practice location is 2301 House Ave Ste 405, Cheyenne, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 635-7961.

Daulton K Grube is licensed to practice in Wyoming (license number 18656A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790434801.

Contact Information

	Daulton K Grube, MD
	2301 House Ave Ste 405, Cheyenne, WY 82001-3180
	(307) 635-7961
	(307) 778-5812

Map and Direction

Physician's Profile

Full Name	Daulton K Grube
Gender	Male
Speciality	Pediatrics
Location	2301 House Ave Ste 405, Cheyenne, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790434801
Provider Enumeration Date: 03/23/2022
Last Update Date: 12/16/2025

Medicare PECOS Information:

PECOS PAC ID: 4284097684
Enrollment ID: I20230901001456

Medical Identifiers

Medical identifiers for Daulton K Grube such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790434801	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	18656A (Wyoming)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Daulton K Grube is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Daulton K Grube, MD Po Box 20970, Cheyenne, WY 82003-7020 Ph: (307) 996-4777	Daulton K Grube, MD 2301 House Ave Ste 405, Cheyenne, WY 82001-3180 Ph: (307) 635-7961

Reviews and Comments

Pediatrics Doctors in Cheyenne, WY

William Joseph Horam, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2301 House Ave, Suite 405, Cheyenne, WY 82001 Phone: 307-635-7961 Fax: 307-778-5812
Aleksandra Susan Schum, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2301 House Ave Ste 405, Cheyenne, WY 82001 Phone: 307-635-7961 Fax: 307-778-5812
Dr. Basavanagouda Ninganagouda Hiregoudar, M D Pediatrics Medicare: Medicare Enrolled Practice Location: 2301 House Ave, Suite 405, Cheyenne, WY 82001 Phone: 307-635-7961
Dr. Andrew Brent Rose, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2301 House Ave, Suite 405, Cheyenne, WY 82001 Phone: 307-635-7961
Robert W Leland, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2301 House Ave, Suite 405, Cheyenne, WY 82001 Phone: 307-635-7961 Fax: 307-778-5812
Danae L Stampfli, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2301 House Ave, Suite 405, Cheyenne, WY 82001 Phone: 307-635-7961 Fax: 307-778-5812
Robert R Prentice, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2301 House Ave, Suite 405, Cheyenne, WY 82001 Phone: 307-635-7961 Fax: 307-778-5812

Daulton K Grube, MD - Medicare Pediatrics in Cheyenne, WY