| Mr Heith L Waddell, MD | |
|
713 E Oak St, Sundance, WY 82729-5172 | |
| (307) 283-3501 | |
| (307) 283-3506 |
| Full Name | Mr Heith L Waddell |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 713 E Oak St, Sundance, 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 |
|---|---|---|---|
| 1932413267 | NPI | - | NPPES |
| 135583000 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 8880 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Crook County Hospital | Sundance, WY | Hospital |
| Monument Health Spearfish Hospital | Spearfish, SD | Hospital |
| Campbell County Health | Gillette, WY | Hospital |
| Monument Health Custer Hospital | Custer, SD | Hospital |
| Monument Health Rapid City Hospital | Rapid city, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Monument Health Network Inc | 5991616427 | 164 |
| Crook County Medical Services District | 9234032483 | 14 |
| Crook County Medical Services District | 9234032483 | 14 |
| Entity Name | Monument Health Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588185268 PECOS PAC ID: 5991616427 Enrollment ID: O20031111000854 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Heith L Waddell, MD Po Box 517, 713 Oak Street, Sundance, WY 82729-0517 Ph: (307) 283-3501 | Mr Heith L Waddell, MD 713 E Oak St, Sundance, WY 82729-5172 Ph: (307) 283-3501 |
Jeremi Villano, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 713 Oak Street, Sundance, WY 82729 Phone: 307-283-2476 Fax: 307-283-2489 | |
James C. Larsen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 713 Oak St., Sundance, WY 82729 Phone: 307-283-3501 Fax: 307-283-2255 |