| Dr Aimee E Gough, MD | |
|
419 S Washington St Ste 200, Casper, WY 82601 | |
| (307) 577-4220 | |
| (307) 235-0931 |
| Full Name | Dr Aimee E Gough |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 14 Years |
| Location | 419 S Washington St Ste 200, Casper, 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 |
|---|---|---|---|
| 1902161664 | NPI | - | NPPES |
| 11604A | Other | WY | WYOMING MEDICAL LICENSE |
| CS01885 | Other | WY | CONTROLLED SUBSTANCE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 11604A (Wyoming) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wyoming Medical Center | Casper, WY | Hospital |
| Campbell County Health | Gillette, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wyoming Surgical Associates Pc | 3375525017 | 7 |
| William H And Carrie Gottsche Foundation | 5092606293 | 51 |
| Banner Health Physicians West Llc | 5092978866 | 84 |
| Entity Name | Wyoming Surgical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598751075 PECOS PAC ID: 3375525017 Enrollment ID: O20040604000889 |
| Entity Name | Banner Health Physicians West Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063778728 PECOS PAC ID: 5092978866 Enrollment ID: O20120607000123 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Aimee E Gough, MD 419 S Washington St Ste 200, Casper, WY 82601-2951 Ph: (307) 577-4220 | Dr Aimee E Gough, MD 419 S Washington St Ste 200, Casper, WY 82601 Ph: (307) 577-4220 |
Thomas Adams, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 419 S Washington St Ste 200, Casper, WY 82601 Phone: 307-577-4220 Fax: 307-235-0931 | |
Lane Lester Smothers, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 419 S Washington St, Suite 102, Casper, WY 82601 Phone: 307-577-4220 Fax: 307-235-0931 | |
James Allen Anderson, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 419 S Washington St, Suite 102, Casper, WY 82601 Phone: 307-577-4220 Fax: 307-235-0931 | |
Todd Harrison Beckstead, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 419 S Washington St, Suite 102, Casper, WY 82601 Phone: 307-577-4220 Fax: 307-235-0931 | |
Dr. Richard M. Jaouen, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1129 E 2nd St, Casper, WY 82601 Phone: 307-472-4300 Fax: 307-265-7479 | |
Mary E Macguire, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1450 E A St, Ste 3, Casper, WY 82601 Phone: 307-473-7821 Fax: 307-473-7522 | |
Dr. Benjamin C Kautza, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1233 E 2nd St, Casper, WY 82601 Phone: 414-719-2959 |