| Dr Barry Michael Wohl, MD | |
|
916 Jackson Ave, Sheridan, WY 82801-2708 | |
| (307) 675-5555 | |
| (307) 675-5599 |
| Full Name | Dr Barry Michael Wohl |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 916 Jackson Ave, Sheridan, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851375547 | NPI | - | NPPES |
| 00941001 | Other | WY | BC BS GROUP NUMBER |
| 0193235 | Other | TX | MEDICA INSURANCE TX |
| 7705130 | Medicaid | SD | |
| 830245718 | Medicaid | NE | |
| 53D0673733 | Other | CLIA GROUP NUMBER | |
| 100048900 | Other | WY | WY MEDICAID GROUP NUMBER |
| 2829A | Other | WY | WY MEDICAL LICENSE |
| 419BMW98 | Other | WY | WY CONTROLLED SUBSTANCE |
| 100798000 | Medicaid | WY | |
| 301605 | Other | WY | BLUE CROSS BLUE SHIELD WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2829A (Wyoming) | Primary |
| Entity Name | Northeast Wyoming Pediatric Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114998259 PECOS PAC ID: 8820167224 Enrollment ID: O20080527000054 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Barry Michael Wohl, MD 916 Jackson Ave, Sheridan, WY 82801-2708 Ph: (307) 675-5555 | Dr Barry Michael Wohl, MD 916 Jackson Ave, Sheridan, WY 82801-2708 Ph: (307) 675-5555 |
Mary I Bowers, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1701 W 5th St, Ste A, Sheridan, WY 82801 Phone: 307-672-7700 | |
Dr. Michael Quintin Sanderson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 916 Jackson Ave, Sheridan, WY 82801 Phone: 307-675-5555 Fax: 307-675-5599 | |
Suzanne E K Oss, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 916 Jackson Ave, Sheridan, WY 82801 Phone: 307-675-5555 Fax: 307-675-5599 | |
Colleen R. Shaw, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 916 Jackson Avenue, Sheridan, WY 82801 Phone: 307-675-5555 Fax: 307-675-5599 |