| Alexandra Kivari, PA | |
|
214 E 23rd St, Cheyenne, WY 82001-3748 | |
| (307) 634-2273 | |
| Not Available |
| Full Name | Alexandra Kivari |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 214 E 23rd St, Cheyenne, Wyoming |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801506605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA1130 (Wyoming) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ivinson Memorial Hospital | Laramie, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ivinson Memorial Hospital | 8325304447 | 61 |
| Entity Name | Summit Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457802993 PECOS PAC ID: 5092094532 Enrollment ID: O20161128000947 |
| Entity Name | Ivinson Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033628599 PECOS PAC ID: 8325304447 Enrollment ID: O20171213002021 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandra Kivari, PA 825 Fairfax Ave, Norfolk, VA 23507-1914 Ph: (413) 364-5124 | Alexandra Kivari, PA 214 E 23rd St, Cheyenne, WY 82001-3748 Ph: (307) 634-2273 |
Corey A Page, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 2030 Bluegrass Cir, Cheyenne, WY 82009 Phone: 307-286-8236 |
Kevin Curtis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2301 House Ave Ste 301, Cheyenne, WY 82001 Phone: 307-637-1600 Fax: 307-637-1699 |
Paul J Jacquay, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2508 E Fox Farm Rd Ste 1a, Cheyenne, WY 82007 Phone: 307-635-3618 Fax: 307-635-1442 |
Broghan Enright, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6900 Alden Dr, Cheyenne, WY 82005 Phone: 307-773-5054 |
Ms. Joann Bourlier-childress, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 214 E 23rd St, Cheyenne, WY 82001 Phone: 307-634-2273 |
May Katharine Collins Lehman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2301 House Ave, Suite 301, Cheyenne, WY 82001 Phone: 307-637-1600 Fax: 307-637-1699 |
Corey Lynn Ernst, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2003 Bluegrass Circle, Cheyenne, WY 82009 Phone: 307-634-4357 Fax: 307-634-7773 |