| Dr Sandra K Surbrugg, MD | |
|
123 Western Hills Blvd, Cheyenne, WY 82009-3446 | |
| (307) 635-0226 | |
| (307) 635-1924 |
| Full Name | Dr Sandra K Surbrugg |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 44 Years |
| Location | 123 Western Hills Blvd, Cheyenne, Wyoming |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699742957 | NPI | - | NPPES |
| 83025288113 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 3492A (Wyoming) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cheyenne Skin Clinic Llp | 4183772122 | 10 |
| Entity Name | Vein Treatment Center A Limited Liability Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295796050 PECOS PAC ID: 0648202762 Enrollment ID: O20050908001154 |
| Entity Name | Cheyenne Skin Clinic Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740427509 PECOS PAC ID: 4183772122 Enrollment ID: O20090501000296 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sandra K Surbrugg, MD 123 Western Hills Blvd, Cheyenne, WY 82009-3446 Ph: (307) 635-0226 | Dr Sandra K Surbrugg, MD 123 Western Hills Blvd, Cheyenne, WY 82009-3446 Ph: (307) 635-0226 |
Krystal J Massey, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 123 Western Hills Blvd, Cheyenne, WY 82009 Phone: 307-635-0226 | |
Dr. Julie A Neville, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 123 Western Hills Blvd, Cheyenne, WY 82009 Phone: 307-635-0226 Fax: 307-635-1924 | |
Dr. Mary O Cole, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 123 Western Hills Blvd, Cheyenne, WY 82009 Phone: 307-635-0226 Fax: 307-635-1924 | |
Dr. Kathleen A Thomas, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 123 Western Hills Blvd, Cheyenne, WY 82009 Phone: 307-635-0226 Fax: 307-635-1924 | |
Larry E Seitz, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2112 Seymour Ave, Cheyenne, WY 82001 Phone: 307-635-8299 Fax: 307-635-6984 |