| Dr Clinton Franklin Merrill Jr, MD | |
|
15 Shrine Club Rd, Lander, WY 82520-8501 | |
| (307) 332-0324 | |
| (307) 332-0382 |
| Full Name | Dr Clinton Franklin Merrill Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Hematology & Oncology |
| Location | 15 Shrine Club Rd, Lander, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992707285 | NPI | - | NPPES |
| 3277A | Other | WY | WYOMING MEDICAL LICENSE |
| 10025668100 | Medicaid | NE | |
| 141495000 | Medicaid | WY | |
| 63235552 | Medicaid | CO | |
| 311538 | Other | WY | BCBS |
| W27189 | Other | WY | MEDICARE PTAN (WY) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 3277A (Wyoming) | Primary |
| Entity Name | West Park Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558351536 PECOS PAC ID: 7315855624 Enrollment ID: O20040127000865 |
| Entity Name | Memorial Hospital Of Sweetwater County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558361949 PECOS PAC ID: 0244124550 Enrollment ID: O20040209000957 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clinton Franklin Merrill Jr, MD 15 Shrine Club Rd, Lander, WY 82520-8501 Ph: (307) 332-0324 | Dr Clinton Franklin Merrill Jr, MD 15 Shrine Club Rd, Lander, WY 82520-8501 Ph: (307) 332-0324 |
Dr. Andrew Malcolm Mcalpin, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 745 Buena Vista Dr, Lander, WY 82520 Phone: 307-332-2941 Fax: 307-332-1920 | |
Dr. Todd Michael Bainter, D.O. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 745 Buena Vista Dr, Lander, WY 82520 Phone: 307-332-2941 | |
Dr. Donald Albert Gullickson, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 745 Buena Vista Dr, Lander, WY 82520 Phone: 307-332-2941 Fax: 307-332-2068 | |
Dr. Gentian Ann Scheer, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 745 Buena Vista Dr, Lander, WY 82520 Phone: 307-332-2941 Fax: 307-332-2068 |