| Mark Matthew Neimat, MD | |
|
625 E Broadway Ave, Jackson, WY 83001-8642 | |
| (307) 733-3636 | |
| (888) 329-5701 |
| Full Name | Mark Matthew Neimat |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 14 Years |
| Location | 625 E Broadway Ave, Jackson, 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 |
|---|---|---|---|
| 1407143100 | NPI | - | NPPES |
| 142001100 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 10289A (Wyoming) | Secondary |
| 207R00000X | Internal Medicine | 13244411-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southwest Memorial Hospital | Cortez, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Hospital Of Sweetwater County | 0244124550 | 61 |
| Southwest Health System Inc | 5890699326 | 44 |
| Entity Name | Memorial Hospital Of Sweetwater County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558361949 PECOS PAC ID: 0244124550 Enrollment ID: O20040209000957 |
| Entity Name | Lander Valley Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215971510 PECOS PAC ID: 5597657080 Enrollment ID: O20040329000810 |
| 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 | Hoskinson Health & Wellness Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376280750 PECOS PAC ID: 1153706346 Enrollment ID: O20220925000057 |
| Entity Name | Memorial Hospital Of Sweetwater County |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1558361949 PECOS PAC ID: 0244124550 Enrollment ID: O20230717002172 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Matthew Neimat, MD Po Box 428, Jackson, WY 83001-0428 Ph: (307) 733-3636 | Mark Matthew Neimat, MD 625 E Broadway Ave, Jackson, WY 83001-8642 Ph: (307) 733-3636 |
Mrs. Blythe Elizabeth Cox, PA C Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway, Suite 229, Jackson, WY 83001 Phone: 307-732-1039 Fax: 307-732-1041 | |
Michael Abram Tenofsky, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 625 E Broadway Ave, Jackson, WY 83001 Phone: 307-733-3636 Fax: 888-329-5701 | |
Dr. Cynthia L Archer, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1335 Arena Rd Unit 1, Jackson, WY 83001 Phone: 602-697-7790 Fax: 602-697-7790 | |
Dr. Martha Gene Stearn, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave Ste 207, Jackson, WY 83001 Phone: 307-733-8002 | |
Anna Bramley Catino, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave Ste 229, Jackson, WY 83001 Phone: 307-739-7690 Fax: 307-739-4960 | |
Glenn Edward Burnett Ii, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave Ste 201, Jackson, WY 83001 Phone: 307-733-7222 Fax: 307-733-9720 |