| Matthew Bryce Roberts, DO | |
|
122 Petersen Pkwy, Thayne, WY 83127-9755 | |
| (307) 883-5852 | |
| (866) 972-4881 |
| Full Name | Matthew Bryce Roberts |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 122 Petersen Pkwy, Thayne, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649858721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | TL8316 (Wyoming) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | North Lincoln County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730132523 PECOS PAC ID: 4789580218 Enrollment ID: O20031208000415 |
| Entity Name | North Lincoln County Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1255376406 PECOS PAC ID: 4789580218 Enrollment ID: O20101103000284 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Bryce Roberts, DO 901 Adams St, Afton, WY 83110-9621 Ph: (307) 885-5800 | Matthew Bryce Roberts, DO 122 Petersen Pkwy, Thayne, WY 83127-9755 Ph: (307) 883-5852 |
Mrs. Martha S Hageman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 122 Petersen Pkwy, Ste 4, Thayne, WY 83127 Phone: 307-883-5852 Fax: 307-883-4436 | |
Mr. Donald J Kirk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 122 Petersen Pkwy, Ste. 4, Thayne, WY 83127 Phone: 307-883-5852 Fax: 307-883-4436 |