| Dr Walter D Merritt Iii, MD | |
|
8185 State Highway 789, Lander, WY 82520-2942 | |
| (307) 335-7555 | |
| (307) 335-7999 |
| Full Name | Dr Walter D Merritt Iii |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology - Otolaryngic Allergy |
| Location | 8185 State Highway 789, Lander, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053394643 | NPI | - | NPPES |
| 804259200 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YX0602X | Otolaryngology - Otolaryngic Allergy | M5753 (Idaho) | Primary |
| Entity Name | Northern Itasca Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1851335525 PECOS PAC ID: 3274442173 Enrollment ID: O20060505000928 |
| Entity Name | Northern Itasca Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851335525 PECOS PAC ID: 3274442173 Enrollment ID: O20060911000628 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Walter D Merritt Iii, MD 8185 State Highway 789, Lander, WY 82520-2942 Ph: (307) 335-7555 | Dr Walter D Merritt Iii, MD 8185 State Highway 789, Lander, WY 82520-2942 Ph: (307) 335-7555 |
Dr. Robert Eugene Nagy, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2359 Squaw Creek Rd, Lander, WY 82520 Phone: 307-332-9325 | |
Dr. Hart Jacobsen, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 30 Pheasant Run Dr, Lander, WY 82520 Phone: 307-332-3115 | |
Melissa Am Hertler, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 15 Shrine Club Rd, Ste B, Lander, WY 82520 Phone: 307-332-0900 |