| Big Horn Foot Clinic Pc | |
|
777 Avenue H, Powell, WY 82435-2260 | |
| (307) 754-9191 | |
| (307) 954-1291 |
| Full Name | Big Horn Foot Clinic Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 777 Avenue H, Powell, Wyoming |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245365154 | NPI | - | NPPES |
| 307844 | Other | WY | BLUE CROSS BLUE SHIELD # |
| 113976200 | Medicaid | WY | |
| 133719000 | Medicaid | WY | |
| 1114923463 | Other | WY | NPI# D. HUGH FRASER DPM |
| 1922241181 | Other | DR. BEACHLER'S NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 139 (Wyoming) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Big Horn Foot Clinic Pc 777 Avenue H, Powell, WY 82435-2260 Ph: (307) 754-9191 | Big Horn Foot Clinic Pc 777 Avenue H, Powell, WY 82435-2260 Ph: (307) 754-9191 |
Dr. Duncan Hugh Fraser, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 777 Avenue H, Powell, WY 82435 Phone: 307-754-9191 Fax: 307-754-1291 | |
Big Horn Ankle & Foot Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 777 Avenue H, Powell, WY 82435 Phone: 307-754-9191 | |
Lael J. Beachler, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 777 Avenue H, Powell, WY 82435 Phone: 307-754-9191 Fax: 307-754-1291 |