Jacob Jeffrey Merrell, MD | |
777 Avenue H, Powell, WY 82435-2260 | |
(307) 754-2267 | |
Not Available |
Full Name | Jacob Jeffrey Merrell |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 15 Years |
Location | 777 Avenue H, Powell, 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 |
---|---|---|---|
1265676381 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD60298961 (Washington) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 9878A (Wyoming) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Community Hospital | Torrington, WY | Hospital |
Wyoming Medical Center | Casper, WY | Hospital |
Platte County Memorial Hospital | Wheatland, WY | Hospital |
Washakie Medical Center | Worland, WY | Hospital |
Niobrara County Hospital District | Lusk, WY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Casper Medical Imaging, P.c. | 8224010871 | 11 |
Outpatient Radiology Llc | 8628051596 | 10 |
Entity Name | Cheyenne Mri Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689613572 PECOS PAC ID: 6507756798 Enrollment ID: O20040319000673 |
Entity Name | Casper Medical Imaging, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316908940 PECOS PAC ID: 8224010871 Enrollment ID: O20040607000423 |
Entity Name | Cheyenne Radiology Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023056082 PECOS PAC ID: 1951293844 Enrollment ID: O20040607000625 |
Entity Name | Powell Valley Health Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699721316 PECOS PAC ID: 5092798561 Enrollment ID: O20040608000424 |
Entity Name | Outpatient Radiology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396704474 PECOS PAC ID: 8628051596 Enrollment ID: O20050930000527 |
Entity Name | Rocky Mountain Radiology Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033515721 PECOS PAC ID: 2466776380 Enrollment ID: O20150126001289 |
Entity Name | Cwip Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154774529 PECOS PAC ID: 0840588752 Enrollment ID: O20161010000699 |
Mailing Address | Practice Location Address |
---|---|
Jacob Jeffrey Merrell, MD 128 E 2nd St, Powell, WY 82435-2318 Ph: (307) 754-3319 | Jacob Jeffrey Merrell, MD 777 Avenue H, Powell, WY 82435-2260 Ph: (307) 754-2267 |
Lawrence J Dirksen, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 777 Avenue H, Powell, WY 82435 Phone: 307-754-2267 |