| Mrs Martha S Hageman, MD | |
|
122 Petersen Pkwy, Ste 4, Thayne, WY 83127 | |
| (307) 883-5852 | |
| (307) 883-4436 |
| Full Name | Mrs Martha S Hageman |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 34 Years |
| Location | 122 Petersen Pkwy, Thayne, Wyoming |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033395561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5751A (Wyoming) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Premier Home Health Inc | Thayne, WY | Home health agency |
| Symbii Home Health | Afton, WY | Home health agency |
| Star Valley Medical Center | Afton, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Lincoln County Hospital District | 4789580218 | 67 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Martha S Hageman, MD 122 Petersen Pkwy, Ste 4, Thayne, WY 83127 Ph: (307) 883-5852 | Mrs Martha S Hageman, MD 122 Petersen Pkwy, Ste 4, Thayne, WY 83127 Ph: (307) 883-5852 |
Matthew Bryce Roberts, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 122 Petersen Pkwy, Thayne, WY 83127 Phone: 307-883-5852 Fax: 866-972-4881 | |
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 |