| Dr Ryan Duane Black, DO | |
|
469 Highway 50, Gillette, WY 82718-9330 | |
| (307) 387-9850 | |
| (307) 387-9890 |
| Full Name | Dr Ryan Duane Black |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 21 Years |
| Location | 469 Highway 50, Gillette, 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 |
|---|---|---|---|
| 1619024544 | NPI | - | NPPES |
| 208D00000X | Other | OK | TAXONOMY CODE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YX0602X | Otolaryngology - Otolaryngic Allergy | 14427A (Wyoming) | Secondary |
| 207Y00000X | Otolaryngology | 14427A (Wyoming) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Campbell County Health | Gillette, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hoskinson Health And Wellness Clinic Llc | 1153706346 | 45 |
| Entity Name | Campbell County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710098868 PECOS PAC ID: 2860392529 Enrollment ID: O20040206000510 |
| Entity Name | Hoskinson Health & Wellness Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376280750 PECOS PAC ID: 1153706346 Enrollment ID: O20220925000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan Duane Black, DO 201 W Lakeway Rd Ste 1004, Gillette, WY 82718-6349 Ph: (307) 387-9850 | Dr Ryan Duane Black, DO 469 Highway 50, Gillette, WY 82718-9330 Ph: (307) 387-9850 |
Jacob William Parmley, DO Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-3636 Fax: 307-688-7920 | |
Dr. Thomas Clifford Davis, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 407 S Medical Arts Ct Ste C, Gillette, WY 82716 Phone: 307-689-4318 | |
Dr. Ian R Swift, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 407 S Medical Arts Ct, Suite F, Gillette, WY 82716 Phone: 307-688-4368 | |
Dr. Alexandra Mcclenahan, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-3636 Fax: 307-688-7920 |