| Rebecca Ashley Sjostrom, MD | |
|
555 E Broadway Ave Ste 211, Jackson, WY 83001-8640 | |
| (307) 699-6801 | |
| (307) 733-6912 |
| Full Name | Rebecca Ashley Sjostrom |
|---|---|
| Gender | Female |
| Speciality | Orthopedic Surgery |
| Experience | 17 Years |
| Location | 555 E Broadway Ave Ste 211, Jackson, Wyoming |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760654651 | NPI | - | NPPES |
| 48707 | Other | CO | COLORADO MEDICAL LICENSE |
| 8081 | Other | AK | ALASKA MEDICAL LICENSE |
| 13178A | Other | WY | WY MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 8081 (Alaska) | Secondary |
| 207X00000X | Orthopaedic Surgery | 48707 (Colorado) | Secondary |
| 207X00000X | Orthopaedic Surgery | 13178A (Wyoming) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Johns Medical Center | Jackson, WY | Hospital |
| Entity Name | Hole Ortho Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831871250 PECOS PAC ID: 1850745670 Enrollment ID: O20230928000328 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Ashley Sjostrom, MD 970 W Broadway Ste E121, Jackson, WY 83001-6402 Ph: (307) 699-6801 | Rebecca Ashley Sjostrom, MD 555 E Broadway Ave Ste 211, Jackson, WY 83001-8640 Ph: (307) 699-6801 |
Mary C Neal, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 945 W Broadway, Jackson, WY 83001 Phone: 307-734-5999 Fax: 307-734-0345 | |
Dr. Blane A Woodfin, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925 | |
Dr. James R Champa, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925 | |
Joshua D. Beck, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 555 East Broadway, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925 | |
Dr. Peter E Rork, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925 | |
Dr. William Lighthart, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925 | |
Christopher Clayton Hills, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave, Jackson, WY 83001 Phone: 307-733-3900 Fax: 307-732-0925 |