| 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 |
| Experience | 18 Years |
| Location | 1233 E 2nd St, Casper, 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 |
|---|---|---|---|
| 1386899680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 8976A (Wyoming) | Secondary |
| 207L00000X | Anesthesiology | 5796 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Desert Medical Center | Mesa, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner Hospital Based Physicians Arizona Llc | 3274782487 | 644 |
| Entity Name | Northwest Hbp Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407353006 PECOS PAC ID: 8921356536 Enrollment ID: O20180730001756 |
| Entity Name | Anesthesia Partners Of Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619452901 PECOS PAC ID: 8628317179 Enrollment ID: O20190228001927 |
| 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 | |
Bengt Josephson Grua, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1541 Diamond Dr, Casper, WY 82601 Phone: 307-232-6649 Fax: 307-215-0898 | |
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 |