| Michael J Shannon, MD | |
|
4017 Rawlins St, Cheyenne, WY 82001-1800 | |
| (307) 635-2562 | |
| (307) 638-2074 |
| Full Name | Michael J Shannon |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 21 Years |
| Location | 4017 Rawlins St, Cheyenne, 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 |
|---|---|---|---|
| 1649218454 | NPI | - | NPPES |
| 125526600 | Medicaid | WY | |
| P00649757 | Other | WY | RAILROAD MEDICARE |
| 93574363 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 7800A (Wyoming) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cheyenne Regional Medical Center | Cheyenne, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cheyenne Regional Physicians Group Llc | 2961403639 | 92 |
| Entity Name | Cheyenne Regional Physicians Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659458008 PECOS PAC ID: 2961403639 Enrollment ID: O20070123000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Shannon, MD Po Box 20970, Cheyenne, WY 82003-7020 Ph: (307) 635-2562 | Michael J Shannon, MD 4017 Rawlins St, Cheyenne, WY 82001-1800 Ph: (307) 635-2562 |
Jean Denise Basta, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2301 House Ave, Suite 505, Cheyenne, WY 82001 Phone: 307-632-9261 Fax: 307-634-9170 | |
John E Winter Ii, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4017 Rawlins St, Cheyenne, WY 82001 Phone: 307-635-4300 Fax: 307-635-4309 | |
W. Carlton Reckling, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 800 E 20th St, Suite 300, Cheyenne, WY 82001 Phone: 307-632-6637 Fax: 307-632-3382 | |
Dr. Bret Ryan Winter, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4017 Rawlins St, Cheyenne, WY 82001 Phone: 307-635-4300 Fax: 307-635-4309 | |
Michael Pete Kuhn, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5307 Yellowstone Rd, Cheyenne, WY 82009 Phone: 307-778-0922 | |
Richard Eugene Torkelson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2301 House Ave, Suite 505, Cheyenne, WY 82001 Phone: 307-632-9261 Fax: 307-634-9170 | |
Bruce D Smith, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4017 Rawlins St, Cheyenne, WY 82001 Phone: 307-635-2562 Fax: 307-432-2676 |