| Dr Andrew Brent Rose, MD | |
|
2301 House Ave, Suite 405, Cheyenne, WY 82001-3176 | |
| (307) 635-7961 | |
| Not Available |
| Full Name | Dr Andrew Brent Rose |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 2301 House Ave, Cheyenne, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396998530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 8747A (Wyoming) | Primary |
| Entity Name | Cheyenne Regional Physicians Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659458008 PECOS PAC ID: 2961403639 Enrollment ID: O20070123000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrew Brent Rose, MD 2301 House Ave, Suite 405, Cheyenne, WY 82001-3176 Ph: (307) 286-7176 | Dr Andrew Brent Rose, MD 2301 House Ave, Suite 405, Cheyenne, WY 82001-3176 Ph: (307) 635-7961 |
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 | |
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 |