| Luke Edwin Bracke, MD | |
|
1233 E 2nd St, Casper, WY 82601-2926 | |
| (207) 577-7201 | |
| Not Available |
| Full Name | Luke Edwin Bracke |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1233 E 2nd St, Casper, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386899680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 8976A (Wyoming) | Secondary |
| 207L00000X | Anesthesiology | 5796 (Arizona) | Primary |
| Entity Name | Wyoming Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265908321 PECOS PAC ID: 8325383953 Enrollment ID: O20181228002322 |
| Mailing Address | Practice Location Address |
|---|---|
| Luke Edwin Bracke, MD 5234 Cheney Loop, Casper, WY 82609-3391 Ph: (205) 585-6498 | Luke Edwin Bracke, MD 1233 E 2nd St, Casper, WY 82601-2926 Ph: (207) 577-7201 |
David Barahal, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 W 2nd St, Suite 415, Casper, WY 82601 Phone: 307-237-5848 Fax: 307-237-5848 | |
Dr. Nathan G Putnam, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1233 E 2nd St, Anesthesiology, Casper, WY 82601 Phone: 435-720-2085 | |
Todd Michael Witzeling, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1233 E 2nd St, Casper, WY 82601 Phone: 307-577-2123 Fax: 307-577-2239 | |
Ryan M Burton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1233 E 2nd St, Casper, WY 82601 Phone: 307-577-7201 | |
Dr. Dustin J Roberts, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1233 E 2nd St, Casper, WY 82601 Phone: 307-577-2073 | |
Matthew V Foley, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2345 E 3rd St, Casper, WY 82609 Phone: 307-689-6109 | |
Dr. Jeffery Steven Christensen, D.O. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 111 W 2nd St Ste 415, Casper, WY 82601 Phone: 307-237-5848 |