| Mr Larry J Hattel, MD | |
|
3235 Sparks Rd, Suite 200, Cheyenne, WY 82001-6158 | |
| (307) 638-8975 | |
| (307) 634-9267 |
| Full Name | Mr Larry J Hattel |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 3235 Sparks Rd, Cheyenne, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629019351 | NPI | - | NPPES |
| 1629019351 | Medicaid | WY | |
| P00720533 | Other | WY | RAILROAD MEDICARE - PALMETTO GBA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 4666A (Wyoming) | Primary |
| Entity Name | Willow Creek Family Medicine, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184800674 PECOS PAC ID: 8527143635 Enrollment ID: O20080313000571 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Larry J Hattel, MD 4003 Rawlins St., Cheyenne, WY 82001-1800 Ph: (307) 638-8975 | Mr Larry J Hattel, MD 3235 Sparks Rd, Suite 200, Cheyenne, WY 82001-6158 Ph: (307) 638-8975 |
Robert J. Sachs, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5050 Powderhouse Rd, Cheyenne, WY 82009 Phone: 307-634-1311 Fax: 307-634-1271 | |
Dr. Jamie Skrove, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 7212 Commons Cir, Cheyenne, WY 82009 Phone: 307-635-4141 Fax: 307-635-6587 | |
Dale C Brentlinger, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 2508 E Fox Farm Road, #1a, Cheyenne, WY 82007 Phone: 307-635-3618 Fax: 307-635-1442 | |
Sandra Abreu Guidry, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 214 E 23rd St, Cheyenne, WY 82001 Phone: 307-638-0300 Fax: 307-638-0394 | |
Sebastine I Elendu, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2301 House Ave, Suite 201, Cheyenne, WY 82001 Phone: 307-638-7757 | |
Dr. David Franklin Oakes, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2301 House Ave Ste 301, Cheyenne, WY 82001 Phone: 307-637-1600 | |
Dr. Trenette Ann Larson, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1202 Cleveland Ave, Cheyenne, WY 82001 Phone: 307-637-0444 Fax: 307-637-0220 |