| Mark D Prince, MD | |
|
921 S Ballancee Ave, Lusk, WY 82225 | |
| (307) 334-4000 | |
| Not Available |
| Full Name | Mark D Prince |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 53 Years |
| Location | 921 S Ballancee Ave, Lusk, 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 |
|---|---|---|---|
| 1790708568 | NPI | - | NPPES |
| 82009A032 | Other | WY | WPS TRIWEST |
| 308045 | Other | WY | BLUE SHIELD |
| 00356 | Other | WY | WINHEALTH PARTNERS |
| 110187400 | Other | WY | RAILROAD MEDICARE |
| 114388300 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2848A (Wyoming) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Niobrara County Hospital District | Lusk, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Niobrara County Hospital District | 7012938780 | 7 |
| Platte Valley Healthcare Project | 9931513892 | 8 |
| Entity Name | Niobrara County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427091347 PECOS PAC ID: 7012938780 Enrollment ID: O20060215000101 |
| Entity Name | Sound Physicians Of Wyoming, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982982708 PECOS PAC ID: 8325214828 Enrollment ID: O20120105000078 |
| Entity Name | Platte Valley Healthcare Project |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730899204 PECOS PAC ID: 9931513892 Enrollment ID: O20230522000378 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark D Prince, MD Po Box 780, Lusk, WY 82225-0780 Ph: (307) 334-4000 | Mark D Prince, MD 921 S Ballancee Ave, Lusk, WY 82225 Ph: (307) 334-4000 |
Joleen E Falkenburg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 921 S Ballancee Ave, Lusk, WY 82225 Phone: 307-334-4000 | |
Lynn Horton, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 921 S Ballancee, Lusk, WY 82225 Phone: 307-334-4000 Fax: 307-334-0183 |