| Mr Breck S Groskreutz, PA-C | |
|
4140 Centennial Hills Blvd Ste A, Casper, WY 82609-3265 | |
| (307) 265-7205 | |
| (307) 235-6262 |
| Full Name | Mr Breck S Groskreutz |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 4140 Centennial Hills Blvd Ste A, Casper, 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 |
|---|---|---|---|
| 1972130565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA893 (Wyoming) | Primary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | PA893 (Wyoming) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ortho Instacare Llc | 5890154520 | 5 |
| Mcginley Medical Pc | 0749690642 | 7 |
| Casper Orthopaedic Associates Pc | 9436148624 | 30 |
| Entity Name | Gastroenterology Associates, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811909807 PECOS PAC ID: 8820902695 Enrollment ID: O20031117000116 |
| Entity Name | Casper Orthopaedic Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962494864 PECOS PAC ID: 9436148624 Enrollment ID: O20040512000032 |
| Entity Name | Mcginley Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033720008 PECOS PAC ID: 0749690642 Enrollment ID: O20201104001676 |
| Entity Name | Ortho Instacare LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669170577 PECOS PAC ID: 5890154520 Enrollment ID: O20230628004386 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Breck S Groskreutz, PA-C 4140 Centennial Hills Blvd Ste A, Casper, WY 82609-3265 Ph: Not Available | Mr Breck S Groskreutz, PA-C 4140 Centennial Hills Blvd Ste A, Casper, WY 82609-3265 Ph: (307) 265-7205 |
Travis Scoresby, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5000 Blackmore Rd, Casper, WY 82609 Phone: 307-233-6000 Fax: 307-233-6089 |
Mr. Chad Eric Sundquist, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1416 E A St, Suite 101, Casper, WY 82601 Phone: 307-577-8600 Fax: 307-577-8605 |
Sara E Malsom, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5000 Blackmore Rd, Casper, WY 82609 Phone: 307-233-6000 Fax: 307-233-6089 |
Starrla R Bartlett-rone, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6550 E 2nd St, Casper, WY 82609 Phone: 307-995-8100 Fax: 307-995-8137 |
Jacob Ehlert, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6500 E 2nd St, Casper, WY 82609 Phone: 307-577-5100 |
Ms. Nikki Lynn Fedel, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6600 E 2nd St, Casper, WY 82609 Phone: 307-266-4000 Fax: 307-266-4545 |
Mrs. Jessica Reese, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1119 E 3rd St, Casper, WY 82601 Phone: 307-266-2772 Fax: 307-266-2076 |