| Gordon E Steward, PA | |
|
1124 Washington Blvd, Newcastle, WY 82701-2972 | |
| (307) 746-4491 | |
| Not Available |
| Full Name | Gordon E Steward |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 1124 Washington Blvd, Newcastle, Wyoming |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164494894 | NPI | - | NPPES |
| 01550250 | Medicaid | CO | |
| 970016226 | Other | CO | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1382 (Colorado) | Primary |
| 363A00000X | Physician Assistant | PA1147 (Wyoming) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Niobrara Health & Life Center | Lusk, WY | Hospital |
| Weston County Health Services | Newcastle, WY | Hospital |
| Wyoming Medical Center | Casper, WY | Hospital |
| Niobrara Health And Life Center | Lusk, WY | Nursing home |
| Weston County Health Services | Newcastle, WY | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Weston County Hospital District | 0042293276 | 12 |
| Cedar Hills Family Clinic, P.c. | 7315929056 | 7 |
| Niobrara County Hospital District | 7012938780 | 7 |
| Entity Name | Weston County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154402972 PECOS PAC ID: 0042293276 Enrollment ID: O20040609001109 |
| Entity Name | Niobrara County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427091347 PECOS PAC ID: 7012938780 Enrollment ID: O20060215000101 |
| Entity Name | Weston County Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1154402972 PECOS PAC ID: 0042293276 Enrollment ID: O20070928000650 |
| Entity Name | Platte Valley Healthcare Project |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730899204 PECOS PAC ID: 9931513892 Enrollment ID: O20230522000378 |
| Entity Name | Platte Valley Healthcare Project |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1730899204 PECOS PAC ID: 9931513892 Enrollment ID: O20240416002159 |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon E Steward, PA 1241 W Mineral Ave, Suite100, Littleton, CO 80120-5685 Ph: (303) 759-0854 | Gordon E Steward, PA 1124 Washington Blvd, Newcastle, WY 82701-2972 Ph: (307) 746-4491 |
Jan Mason-manzer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1121 Washington Ave, Newcastle, WY 82701 Phone: 307-746-3582 |
Mr. Michael Lee Carpenter, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1121 Washington Ave, Newcastle, WY 82701 Phone: 307-746-3582 |
Shannon Ballard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1124 Washington Blvd, Newcastle, WY 82701 Phone: 307-746-3700 |