| Dr Jason Shi Cheng, DO | |
|
2100 W Sunset Dr, Riverton, WY 82501-2274 | |
| (307) 856-4161 | |
| Not Available |
| Full Name | Dr Jason Shi Cheng |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 11 Years |
| Location | 2100 W Sunset Dr, Riverton, 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 |
|---|---|---|---|
| 1922424506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | TL5521 (Wyoming) | Secondary |
| 207P00000X | Emergency Medicine | 34.012936 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Ironwood Medical Center | Queen creek, AZ | Hospital |
| Banner Goldfield Medical Center | Apache junction, AZ | Hospital |
| Banner Estrella Medical Center | Phoenix, AZ | Hospital |
| Banner - University Medical Center Phoenix | Phoenix, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Professional Services Pc | 6901707272 | 95 |
| Entity Name | Emergency Professional Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518984210 PECOS PAC ID: 6901707272 Enrollment ID: O20040119000693 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason Shi Cheng, DO 784 Tulip Cir, Weston, FL 33327-2452 Ph: () - | Dr Jason Shi Cheng, DO 2100 W Sunset Dr, Riverton, WY 82501-2274 Ph: (307) 856-4161 |
Grant Wilson Berry, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 W Sunset Dr, Riverton, WY 82501 Phone: 307-857-3445 | |
Dr. Thomas Carl Pruett, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2300 Rose Ln, Riverton, WY 82501 Phone: 307-857-1211 |