| Mr Hermilo Gonzalez Jr, MD | |
|
497 W Lott St, Buffalo, WY 82834-1609 | |
| (307) 684-2228 | |
| (307) 684-2177 |
| Full Name | Mr Hermilo Gonzalez Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 40 Years |
| Location | 497 W Lott St, Buffalo, 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 |
|---|---|---|---|
| 1023096153 | NPI | - | NPPES |
| 306232 | Other | WY | BLUE CROSS |
| 306039 | Other | WY | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4374A (Wyoming) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Johnson County Healthcare Center | Buffalo, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Medical Center | 1557344371 | 20 |
| Entity Name | Family Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285612317 PECOS PAC ID: 1557344371 Enrollment ID: O20040611000248 |
| Entity Name | Johnson County Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1003894122 PECOS PAC ID: 5193610947 Enrollment ID: O20070418000297 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Hermilo Gonzalez Jr, MD 497 West Lott, Buffalo, WY 82834-1609 Ph: (307) 684-2228 | Mr Hermilo Gonzalez Jr, MD 497 W Lott St, Buffalo, WY 82834-1609 Ph: (307) 684-2228 |
Mr. Brian Mitchell Darnell, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 497 W Lott, Buffalo, WY 82834 Phone: 307-684-2228 Fax: 307-684-2177 | |
Mr. Aubrey Dozier Tabb, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 497 W Lott St, Buffalo, WY 82834 Phone: 307-684-2228 Fax: 307-684-2177 | |
Dr. Jennifer Ann Rice, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 497 W Lott St, Buffalo, WY 82834 Phone: 307-684-2228 Fax: 307-684-2177 | |
Mr. Mark Steven Schueler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 497 West Lott, Buffalo, WY 82834 Phone: 307-684-2228 Fax: 307-684-2177 | |
Mr. Lawrence Edward Kirven, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 497 W Lott St, Buffalo, WY 82834 Phone: 307-684-2228 Fax: 307-684-2177 | |
Lisa Marie Mullen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 497 W Lott St, Buffalo, WY 82834 Phone: 307-684-2228 Fax: 307-684-2177 |