| Roger Malcom Brecheen, MD FACOG | |
|
555 E Broadway, Ste 201, Jackson, WY 83001 | |
| (307) 733-8537 | |
| (307) 733-0141 |
| Full Name | Roger Malcom Brecheen |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 555 E Broadway, Jackson, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720039357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 5262A (Wyoming) | Primary |
| Entity Name | Humboldt General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922152784 PECOS PAC ID: 5193709798 Enrollment ID: O20040614000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Roger Malcom Brecheen, MD FACOG Po Box 15570, Jackson, WY 83002 Ph: (307) 733-8537 | Roger Malcom Brecheen, MD FACOG 555 E Broadway, Ste 201, Jackson, WY 83001 Ph: (307) 733-8537 |
Shirl Douglas George, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave Ste 108, Jackson, WY 83001 Phone: 307-734-1313 Fax: 307-734-0314 | |
Dr. Henry Thomas Smith, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 230 East Broadway, Jackson, WY 83001 Phone: 307-733-1122 Fax: 307-734-9577 | |
Dr. Timothy G Bussert, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 555 E Broadway Ave Ste 108, Jackson, WY 83001 Phone: 307-734-1005 | |
Shannon Christine Roberts, MD FACOG Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave, Ste 108, Jackson, WY 83001 Phone: 307-734-1005 Fax: 307-734-1165 | |
Dr. Camille Stephanie Mellijor-figg, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 430 S Cache St, Jackson, WY 83001 Phone: 307-201-1489 | |
Maura Jean Lofaro, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave, Suite 108, Jackson, WY 83001 Phone: 307-734-1005 Fax: 307-734-1165 |