| Vinay Bhushan Reddy Lakki, MD | |
|
469 Highway 50, Gillette, WY 82718-9330 | |
| (207) 387-9850 | |
| (307) 387-9890 |
| Full Name | Vinay Bhushan Reddy Lakki |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 469 Highway 50, Gillette, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265043327 | NPI | - | NPPES |
| 241650600 | Medicaid | WY | |
| 17594A | Other | WY | WY STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 8928 (Nebraska) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 17594A (Wyoming) | Primary |
| Entity Name | Hoskinson Health & Wellness Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376280750 PECOS PAC ID: 1153706346 Enrollment ID: O20220925000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Vinay Bhushan Reddy Lakki, MD 7710 Mercy Rd Ste 202, Omaha, NE 68124-2353 Ph: (402) 280-4238 | Vinay Bhushan Reddy Lakki, MD 469 Highway 50, Gillette, WY 82718-9330 Ph: (207) 387-9850 |
Stephanie Ann Bennington, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 201 W Lakeway Rd Ste 700, Gillette, WY 82718 Phone: 307-387-9850 Fax: 307-387-9890 | |
Dr. William Piet Salmon, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 501 S Burma Ave Fl 5, Gillette, WY 82716 Phone: 307-688-5000 |