| Dr Michael Dean Adams, MD | |
|
75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5235 | |
| (307) 789-8290 | |
| (307) 789-8975 |
| Full Name | Dr Michael Dean Adams |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 75 Yellow Creek Rd, Evanston, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922005347 | NPI | - | NPPES |
| 53D0977203 | Other | WY | CLIA NUMBER |
| 0004116106 | Other | AETNA | |
| 080014492 | Other | RAILROAD MEDICARE | |
| 103977600 | Medicaid | WY | |
| C12604 | Other | UPIN | |
| 02902001 | Other | WY | BLUECROSS/BLUESHIELD CLIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 181920-8905 (Utah) | Secondary |
| 207Q00000X | Family Medicine | 4371-A (Wyoming) | Primary |
| Entity Name | Bear Lake Community Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689754475 PECOS PAC ID: 9032020037 Enrollment ID: O20040110000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Dean Adams, MD 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5235 Ph: (307) 789-8290 | Dr Michael Dean Adams, MD 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5235 Ph: (307) 789-8290 |
Dr. Cal Lee Morrow, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 196 Arrowhead Dr, Suite 1, Evanston, WY 82930 Phone: 307-783-8123 | |
Karrie L Knopf, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 196 Arrowhead Dr, Ste 1, Evanston, WY 82930 Phone: 307-783-8123 Fax: 307-783-8254 | |
Edmund Nowicki, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 196 Arrowhead Dr, Ste 1, Evanston, WY 82930 Phone: 877-892-9701 |