| Dr Brian Scott Retherford, MD | |
|
111 S 5th St, Douglas, WY 82633-2434 | |
| (307) 358-7365 | |
| (307) 358-7347 |
| Full Name | Dr Brian Scott Retherford |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 31 Years |
| Location | 111 S 5th St, Douglas, 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 |
|---|---|---|---|
| 1134183080 | NPI | - | NPPES |
| 00A823030 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | A82303 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bear Lake Memorial Hospital | Montpelier, ID | Hospital |
| Caribou Memorial Hospital | Soda springs, ID | Hospital |
| Franklin County Medical Center | Preston, ID | Hospital |
| Summit Medical Center | Casper, WY | Hospital |
| Mountain View Hospital | Idaho falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Caribou Medical Center, Inc | 7618365701 | 34 |
| Franklin County Medical Center | 8820909104 | 26 |
| Bear Lake County Memorial Hospital | 5395799860 | 31 |
| Memorial Hospital Of Converse County | 2264340843 | 79 |
| Entity Name | Caribou Medical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942970272 PECOS PAC ID: 7618365701 Enrollment ID: O20220314000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Scott Retherford, MD 17 Fairway Dr, Douglas, WY 82633-9515 Ph: (307) 359-8127 | Dr Brian Scott Retherford, MD 111 S 5th St, Douglas, WY 82633-2434 Ph: (307) 358-7365 |
Stefani Bissonette, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 700 E Center St, Douglas, WY 82633 Phone: 307-358-7300 | |
Dr. Mark Steven Campbell, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 111 S 5th St Ste 2, Douglas, WY 82633 Phone: 307-358-7365 Fax: 307-358-7347 |