| 307 Psychiatry | |
|
1541 Diamond Dr Casper WY 82601-6247 | |
| (307) 217-8799 | |
| (888) 436-7342 |
| Full Name | 307 Psychiatry |
|---|---|
| Speciality | Clinic/Center |
| Location | 1541 Diamond Dr, Casper, Wyoming |
| Authorized Official Name and Position | Brian Schlidt (PHYSICIAN) |
| Authorized Official Contact | 3072178799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 307 Psychiatry 2961 Custer Ave Billings MT 59102-4522 Ph: (307) 262-4735 | 307 Psychiatry 1541 Diamond Dr Casper WY 82601-6247 Ph: (307) 217-8799 |
| NPI Number | 1972388981 |
|---|---|
| Provider Enumeration Date | 08/28/2023 |
| Last Update Date | 09/22/2023 |
| Certification Date | 09/22/2023 |
| Medicare PECOS PAC ID | 7618322850 |
|---|---|
| Medicare Enrollment ID | O20231009002098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972388981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Brian Anthony Schlidt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386208841 PECOS PAC ID: 3577896182 Enrollment ID: I20231009002524 |
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