| John G Haeberle, MD | |
|
2710 Harney St Ste 100, Laramie, WY 82072-0001 | |
| (307) 742-3242 | |
| (307) 742-3282 |
| Full Name | John G Haeberle |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 2710 Harney St Ste 100, Laramie, Wyoming |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619901907 | NPI | - | NPPES |
| 127701400 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 8128A (Wyoming) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Weston County Health Services Home Health | Newcastle, WY | Home health agency |
| Weston County Health Services | Newcastle, WY | Hospital |
| Monument Health Rapid City Hospital | Rapid city, SD | Hospital |
| Monument Health Spearfish Hospital | Spearfish, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Weston County Hospital District | 0042293276 | 13 |
| Cedar Hills Family Clinic, P.c. | 7315929056 | 6 |
| Entity Name | Weston County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154402972 PECOS PAC ID: 0042293276 Enrollment ID: O20040609001109 |
| Mailing Address | Practice Location Address |
|---|---|
| John G Haeberle, MD 2710 Harney St Ste 100, Laramie, WY 82072-0001 Ph: (307) 742-3242 | John G Haeberle, MD 2710 Harney St Ste 100, Laramie, WY 82072-0001 Ph: (307) 742-3242 |
Patrick W. Tufts, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 255 N 30th St, Laramie, WY 82072 Phone: 307-755-4406 | |
Kurt Samuel Johnson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 E University Ave, Laramie, WY 82071 Phone: 307-766-5071 Fax: 307-761-9319 | |
Dr. Darren Lamar Mikesell, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2710 Harney St Ste 100, Laramie, WY 82072 Phone: 307-742-3242 Fax: 307-742-3242 | |
Tracey A. Haas, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2710 Harney St Ste 202, Laramie, WY 82072 Phone: 307-766-3313 | |
Dr. Daniel George Radosevich, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 E University Ave, Department 3068, Laramie, WY 82071 Phone: 307-766-2130 Fax: 307-766-2711 | |
Robert M Martino, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1771 Eaglecrest Ct, Laramie, WY 82072 Phone: 701-306-7497 | |
Michael Peter Meyer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 E University Ave # 3068, Laramie, WY 82071 Phone: 307-766-2130 |