Dr Laurence William Vale Deboer, MD in Gillette, WY - Medicare Internal Medicine

Dr Laurence William Vale Deboer, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Gillette, Wyoming. His current practice location is 430 Medical Arts Ct., Gillette, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 682-7661.

Dr Laurence William Vale Deboer is licensed to practice in Wyoming (license number 5853A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043315872.

Contact Information

	Dr Laurence William Vale Deboer, MD
	430 Medical Arts Ct., Gillette, WY 82716
	(307) 682-7661
	(307) 682-7624

Physician's Profile

Full Name	Dr Laurence William Vale Deboer
Gender	Male
Speciality	Internal Medicine - Cardiovascular Disease
Location	430 Medical Arts Ct., Gillette, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043315872
Provider Enumeration Date: 09/14/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 3971589714
Enrollment ID: I20160317001951

Medical Identifiers

Medical identifiers for Dr Laurence William Vale Deboer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043315872	NPI	-	NPPES
638	Other		MEDICAL LICENSE
53D925429	Other	WY	CLIA
303946	Other	WY	BLUE CROSS
5853A	Other	WY	STATE LICENSE
00783001	Other	WY	BLUE CROSS GROUP NUMBER
7088727	Medicaid	WY
8380925	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	5853A (Wyoming)	Primary
207RC0000X	Internal Medicine - Cardiovascular Disease	E0878 (Texas)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Laurence William Vale Deboer is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Laurence William Vale Deboer, MD 430 Medical Arts Ct., Gillette, WY 82716 Ph: (307) 682-7661	Dr Laurence William Vale Deboer, MD 430 Medical Arts Ct., Gillette, WY 82716 Ph: (307) 682-7661

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Internal Medicine Doctors in Gillette, WY

Philip Mcmahill, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-6230 Fax: 307-688-6120
Bernadette Veronica Meade, DO Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 501 S. Burma Ave., Gillette, WY 82716 Phone: 307-688-3636 Fax: 307-688-7920
Thomas Bernard Repas, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 501 S Burma Ave, Gillette, WY 82716 Phone: 307-688-3615 Fax: 307-688-7925
Dr. Rebecca A Painter, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 201 W Lakeway Rd, Suite 300, Gillette, WY 82718 Phone: 307-682-0330
William Hoskinson, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 501 S Burma Ave Ste 400, Gillette, WY 82716 Phone: 307-688-1000
Dr. Sairav B Shah, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 501 S Burma Avenue, Ste 3500, Gillette, WY 82716 Phone: 307-688-3700 Fax: 307-688-7920

Dr Laurence William Vale Deboer, MD - Medicare Internal Medicine in Gillette, WY