| John R Vipperman, PAC | |
|
3030 Big Horn Ave, Cody, WY 82414-9208 | |
| (307) 578-1955 | |
| (307) 578-1979 |
| Full Name | John R Vipperman |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 3030 Big Horn Ave, Cody, Wyoming |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992787980 | NPI | - | NPPES |
| 810511516021 | Other | MT | EBMS |
| 117477100 | Medicaid | WY | |
| 3110550 | Other | WY | BLUE CROSS |
| 0439535 | Medicaid | MT | |
| 000094353 | Other | MT | BLUE CROSS BUTTE MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 306 (Montana) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 207 (Wyoming) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cody Regional Health | Cody, WY | Hospital |
| Washakie Medical Center | Worland, WY | Hospital |
| Billings Clinic | Billings, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Park Hospital District | 7315855624 | 45 |
| Mailing Address | Practice Location Address |
|---|---|
| John R Vipperman, PAC 3030 Big Horn Ave, Cody, WY 82414-9208 Ph: (307) 578-1955 | John R Vipperman, PAC 3030 Big Horn Ave, Cody, WY 82414-9208 Ph: (307) 578-1955 |
Kayla Nagle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3030 Big Horn Ave, Cody, WY 82414 Phone: 307-578-1955 | |
Sterling T. Fenwick, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 720 Lindsay Ln Ste C, Cody, WY 82414 Phone: 307-578-2180 Fax: 307-578-2181 | |
Stephen Rogers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 424 Yellowstone Ave, Suite 140, Cody, WY 82414 Phone: 307-527-7100 Fax: 307-527-7145 | |
Mark O Riley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 720 Lindsay Ln, Ste C, Cody, WY 82414 Phone: 307-578-1955 Fax: 307-578-1957 | |
Mr. Robert Randall Lang, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 424 Yellowstone Ave Ste 120, Cody, WY 82414 Phone: 307-578-2903 | |
Christopher Randall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 720 Lindsay Ln Ste B, Cody, WY 82414 Phone: 307-578-1953 | |
Mrs. Roxanne Kay Trimble, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1220 Sunshine Ave Ste 101, Cody, WY 82414 Phone: 307-587-5545 |