| Rachael M Bracke, MD | |
|
3030 Big Horn Ave, Cody, WY 82414-9208 | |
| (307) 578-1955 | |
| (307) 578-1979 |
| Full Name | Rachael M Bracke |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 3030 Big Horn Ave, Cody, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487815742 | NPI | - | NPPES |
| 04053391 | Medicaid | MS | |
| 129285 | Medicaid | AL | |
| 051117619 | Other | AL | BCBS |
| 133448400 | Medicaid | WY | |
| 051117620 | Other | AL | BCBS |
| 129284 | Medicaid | AL | |
| 129286 | Medicaid | AL | |
| 051117618 | Other | AL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 29717 (Alabama) | Secondary |
| 208M00000X | Hospitalist | 8977A (Wyoming) | Primary |
| Entity Name | Big Horn Basin Bone & Joint, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134249725 PECOS PAC ID: 9537266119 Enrollment ID: O20070515000572 |
| Mailing Address | Practice Location Address |
|---|---|
| Rachael M Bracke, MD 3030 Big Horn Ave, Cody, WY 82414-9208 Ph: (307) 578-1955 | Rachael M Bracke, MD 3030 Big Horn Ave, Cody, WY 82414-9208 Ph: (307) 578-1955 |
Dr. Connor Ross Deal, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 707 Sheridan Ave, Cody, WY 82414 Phone: 307-527-7501 | |
Courtney Spence, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 424 Yellowstone Ave, Suite 230, Cody, WY 82414 Phone: 307-578-2975 |