| New Beautiful You Inc | |
|
1129 E 2nd St Casper WY 82601-2903 | |
| (307) 234-4585 | |
| (307) 265-7479 |
| Full Name | New Beautiful You Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1129 E 2nd St, Casper, Wyoming |
| Authorized Official Name and Position | Melissa D Black (OWNER) |
| Authorized Official Contact | 3072627787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Beautiful You Inc 1129 E 2nd St Casper WY 82601-2903 Ph: (307) 234-4585 | New Beautiful You Inc 1129 E 2nd St Casper WY 82601-2903 Ph: (307) 234-4585 |
| NPI Number | 1255951455 |
|---|---|
| Provider Enumeration Date | 04/17/2020 |
| Last Update Date | 11/10/2020 |
| Medicare PECOS PAC ID | 0840618203 |
|---|---|
| Medicare Enrollment ID | O20201228000766 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255951455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jesse A Coffey |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1528118460 PECOS PAC ID: 7517016488 Enrollment ID: I20171219001543 |
| Provider Name | Shawn T Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346618360 PECOS PAC ID: 9830407360 Enrollment ID: I20180703003135 |
| Provider Name | Christopher N Stewart |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1477973105 PECOS PAC ID: 3971809013 Enrollment ID: I20220915000608 |
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