| Dr Nils Charles Westfall, MD | |
|
555 E Broadway Ave Ste 204, Jackson, WY 83001-8640 | |
| (307) 739-4818 | |
| (307) 739-4866 |
| Full Name | Dr Nils Charles Westfall |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 555 E Broadway Ave Ste 204, Jackson, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992047682 | NPI | - | NPPES |
| 156592300 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 13186A (Wyoming) | Primary |
| Entity Name | Teton County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487818605 PECOS PAC ID: 4880582295 Enrollment ID: O20040308000954 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nils Charles Westfall, MD Po Box 428, Jackson, WY 83001-0428 Ph: (307) 739-4818 | Dr Nils Charles Westfall, MD 555 E Broadway Ave Ste 204, Jackson, WY 83001-8640 Ph: (307) 739-4818 |
Kathleen M Logan, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway Ave Ste 204, Jackson, WY 83001 Phone: 307-739-4818 Fax: 888-329-5701 | |
Christopher Andrew Ramsey, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 680 S Cache St Ste 100, Jackson, WY 83001 Phone: 212-518-6718 |