| Smitha Neerukonda, | |
|
2301 House Ave Ste 301, Cheyenne, WY 82001-3178 | |
| (307) 637-1600 | |
| (307) 637-1699 |
| Full Name | Smitha Neerukonda |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 2301 House Ave Ste 301, 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 |
|---|---|---|---|
| 1669835013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 18294A (Wyoming) | Primary |
| Entity Name | Yuma District Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841343407 PECOS PAC ID: 6305758830 Enrollment ID: O20031223000344 |
| Entity Name | Banner Health Physicians Colorado Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073899134 PECOS PAC ID: 8921273038 Enrollment ID: O20111219000237 |
| Mailing Address | Practice Location Address |
|---|---|
| Smitha Neerukonda, Po Box 20970, Cheyenne, WY 82003-7020 Ph: (307) 634-2273 | Smitha Neerukonda, 2301 House Ave Ste 301, Cheyenne, WY 82001-3178 Ph: (307) 637-1600 |
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: Medicare Enrolled 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 |