| Dr Lucase H Wang, MD | |
|
1300 E A St Ste 206, Casper, WY 82601-2252 | |
| (307) 265-2400 | |
| (307) 265-2566 |
| Full Name | Dr Lucase H Wang |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1300 E A St Ste 206, Casper, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316072788 | NPI | - | NPPES |
| 9928537 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A91742 (California) | Secondary |
| 208000000X | Pediatrics | 7923A (Wyoming) | Primary |
| Entity Name | Lander Valley Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215971510 PECOS PAC ID: 5597657080 Enrollment ID: O20040329000810 |
| Entity Name | Riverton Physician Practices, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205875614 PECOS PAC ID: 8426954496 Enrollment ID: O20040505000232 |
| Entity Name | Ivinson Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033628599 PECOS PAC ID: 8325304447 Enrollment ID: O20171213002021 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lucase H Wang, MD 1300 E A St Ste 206, Casper, WY 82601-2252 Ph: (307) 265-2400 | Dr Lucase H Wang, MD 1300 E A St Ste 206, Casper, WY 82601-2252 Ph: (307) 265-2400 |
Diane R Edwards, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 915 S David, Casper, WY 82601 Phone: 307-472-3769 | |
Robert Anthony Vigneri, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 940 E 3rd St, Suite 203, Casper, WY 82601 Phone: 307-577-0465 Fax: 307-577-0469 | |
Dr. Ismaeel Mohamed Bakhsh, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1020 Conwell St., Casper, WY 82601 Phone: 516-808-1917 | |
Dr. Shelley C Springer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 940 E 3rd St Ste 205, Casper, WY 82601 Phone: 307-577-4260 Fax: 307-577-4263 | |
Dr. Melissa M. Knudson-johnson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 940 E 3rd St Ste 203, Casper, WY 82601 Phone: 307-333-6940 Fax: 888-964-2162 | |
Dr. Sarah G Grooms, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5000 Blackmore Rd, Casper, WY 82609 Phone: 307-233-6000 Fax: 307-233-6088 |