| Keith A Thompson, MD | |
|
15 Shrine Club Rd, Lander, WY 82520-8501 | |
| (307) 332-0324 | |
| (307) 332-0382 |
| Full Name | Keith A Thompson |
|---|---|
| Gender | Male |
| Speciality | Medical Oncology |
| Experience | 41 Years |
| Location | 15 Shrine Club Rd, Lander, 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 |
|---|---|---|---|
| 1841246022 | NPI | - | NPPES |
| 009935365 | Medicaid | AL | |
| 0000264456 | Medicaid | AL | |
| 009935367 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RX0202X | Internal Medicine - Medical Oncology | 17587A (Wyoming) | Primary |
| 207RX0202X | Internal Medicine - Medical Oncology | 15808 (Alabama) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hospice Of Laramie | Laramie, WY | Hospice |
| Ivinson Memorial Hospital | Laramie, WY | Hospital |
| North Platte Valley Medical Center | Saratoga, WY | Hospital |
| Cheyenne Regional Medical Center | Cheyenne, WY | Hospital |
| University Of Colorado Hospital Authority | Aurora, CO | Hospital |
| Medical Center Of The Rockies | Loveland, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ivinson Memorial Hospital | 8325304447 | 61 |
| Entity Name | Ivinson Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033628599 PECOS PAC ID: 8325304447 Enrollment ID: O20171213002021 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith A Thompson, MD Po Box 846266, Los Angeles, CA 90084-6266 Ph: (888) 802-9885 | Keith A Thompson, MD 15 Shrine Club Rd, Lander, WY 82520-8501 Ph: (307) 332-0324 |
Dr. Andrew Malcolm Mcalpin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 745 Buena Vista Dr, Lander, WY 82520 Phone: 307-332-2941 Fax: 307-332-1920 |
Dr. Todd Michael Bainter, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 745 Buena Vista Dr, Lander, WY 82520 Phone: 307-332-2941 |
Dr. Donald Albert Gullickson, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 745 Buena Vista Dr, Lander, WY 82520 Phone: 307-332-2941 Fax: 307-332-2068 |
Dr. Gentian Ann Scheer, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 745 Buena Vista Dr, Lander, WY 82520 Phone: 307-332-2941 Fax: 307-332-2068 |
Dr. Clinton Franklin Merrill Jr., M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 15 Shrine Club Rd, Lander, WY 82520 Phone: 307-332-0324 Fax: 307-332-0382 |