| Dr Sarah G Grooms, MD | |
|
5000 Blackmore Rd, Casper, WY 82609-3345 | |
| (307) 233-6000 | |
| (307) 233-6088 |
| Full Name | Dr Sarah G Grooms |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 5000 Blackmore Rd, 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 |
|---|---|---|---|
| 1609887470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 13717A (Wyoming) | Primary |
| Entity Name | Charlotte Pediatric Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710914171 PECOS PAC ID: 1658263298 Enrollment ID: O20040327000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sarah G Grooms, MD 5000 Blackmore Rd, Casper, WY 82609-3345 Ph: (307) 233-6000 | Dr Sarah G Grooms, MD 5000 Blackmore Rd, Casper, WY 82609-3345 Ph: (307) 233-6000 |
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. Lucase H Wang, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1300 E A St Ste 206, Casper, WY 82601 Phone: 307-265-2400 Fax: 307-265-2566 | |
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 |