| Dr H Karl Radke Jr, MD | |
|
5000 Blackmore Rd, Casper, WY 82609-3345 | |
| (307) 233-6000 | |
| Not Available |
| Full Name | Dr H Karl Radke Jr |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 5000 Blackmore Rd, Casper, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720188972 | NPI | - | NPPES |
| 100371230A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 8646A (Wyoming) | Primary |
| 207Q00000X | Family Medicine | 04-28627 (Kansas) | Secondary |
| Entity Name | Community Health Center Of Central Wyoming Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447480561 PECOS PAC ID: 3375454705 Enrollment ID: O20031105000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr H Karl Radke Jr, MD 5000 Blackmore Rd, Casper, WY 82609-3345 Ph: (307) 233-6000 | Dr H Karl Radke Jr, MD 5000 Blackmore Rd, Casper, WY 82609-3345 Ph: (307) 233-6000 |
Savannah Marie Cardenas, FNP, DNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6500 E 2nd St, Casper, WY 82609 Phone: 307-577-5100 | |
Zachory Fred Deiss, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1522 E A St, Casper, WY 82601 Phone: 307-234-6161 | |
Philip Gard, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1522 E A St, Casper, WY 82601 Phone: 307-234-6161 | |
Dr. Johnny M Tooke, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2241 Farnum Ste 105, Casper, WY 82609 Phone: 307-266-1263 Fax: 307-265-0410 | |
Larissa Faith Gray, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 1522 E A St, Casper, WY 82601 Phone: 307-234-6161 | |
Adam Linck, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 S. Conwell Street, Casper, WY 82601 Phone: 307-265-8300 Fax: 307-233-8230 | |
Renae Marie Hepfner, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1522 E A St, Casper, WY 82601 Phone: 307-234-6161 |