Glen J Poffenbarger (NPI# 1669469227, PAC ID# 1658398219) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1669469227 |
| PAC ID by PECOS | 1658398219 |
| Professional Enrollment ID | I20141113000643 |
| Full Name | Glen J Poffenbarger |
| Organization Legal Name | BIG HORN BASIN BONE AND JOINT, LLC |
| Address |
400 S 15th St Worland WY 82401-3531 |
| Phone Number | 3073473221 |
| Gender | M |
| Credential | MD |
| Graduation Year | 2000 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 9537266119 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 531312 | WEST PARK HOSPITAL DISTRICT |
| 531306 | WASHAKIE MEDICAL CENTER |
| 530008 | SAGEWEST HEALTH CARE |
| 531309 | NORTH BIG HORN HOSPITAL DISTRICT |
| 531310 | POWELL VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 707 Sheridan Ave, Cody, WY 82414-3409 | 3075277501 | BIG HORN BASIN BONE AND JOINT, LLC |
| 720 Lindsay Ln, Suite C, Cody, WY 82414-4143 | 3075781955 | BIG HORN BASIN BONE AND JOINT, LLC |
| 400 S 15th St, Worland, WY 82401-3531 | 3073473221 | BIG HORN BASIN BONE AND JOINT, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 6% |
| Organization Legal Name | BIG HORN BASIN BONE AND JOINT, LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayla E Nagle | Physician Assistant | Big Horn Basin Bone and Joint, LLC | 400 S 15th St, Worland, WY 82401-3531 |
| Thomas H Etter | General Surgery | Big Horn Basin Bone and Joint, LLC | 720 Lindsay Ln, Suite C, Cody, WY 82414-4143 |
| Jennifer Lindsay Warner | Physician Assistant | Big Horn Basin Bone and Joint, LLC | 707 Sheridan Ave, Cody, WY 82414-3409 |
| Rebecca Harris | Physician Assistant | Big Horn Basin Bone and Joint, LLC | 720 Lindsay Ln, Suite C, Cody, WY 82414-4143 |
| Craig J Edwards | Physician Assistant | Big Horn Basin Bone and Joint, LLC | 707 Sheridan Ave, Cody, WY 82414-3409 |
| Rachel M Bracke | Internal Medicine | Big Horn Basin Bone and Joint, LLC | 720 Lindsay Ln, Suite C, Cody, WY 82414-4143 |
| Kerry C Bower | Physician Assistant | Big Horn Basin Bone and Joint, LLC | 720 Lindsay Ln, Suite C, Cody, WY 82414-4143 |
| John R Vipperman | Physician Assistant | Big Horn Basin Bone and Joint, LLC | 707 Sheridan Ave, Cody, WY 82414-3409 |
| Richard D Bennett | Physician Assistant | Big Horn Basin Bone and Joint, LLC | 720 Lindsay Ln, Suite C, Cody, WY 82414-4143 |
| Street Address |
400 S 15TH ST |
| City | WORLAND |
| State | WY |
| Zip | 82401-3531 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayla E Nagle | Physician Assistant | Big Horn Basin Bone and Joint, LLC | 400 S 15th St, Worland, WY 82401-3531 |
| Ejaz Khalid | Internal Medicine | Rural Physicians Group Pannu Pllc | 400 S 15th St, Worland, WY 82401-3531 |
| Hamza Fadhil Mancy | Hospitalist | Rural Physicians Group Pannu Pllc | 400 S 15th St, Worland, WY 82401-3531 |
| Philip G Tallman | Dermatology | Philip Tallman Md PC | 400 S 15th St, Worland, WY 82401-3531 |
| Charles M Buchanan | Internal Medicine | Rural Physicians Group Pannu Pllc | 400 S 15th St, Worland, WY 82401-3531 |
| Pauline Frome | Certified Registered Nurse Anesthetist | Washakie Medical Center | 400 S 15th St, Worland, WY 82401-3531 |
| Dowie J Vanderwerff | Certified Registered Nurse Anesthetist | Washakie Medical Center | 400 S 15th St, Worland, WY 82401-3531 |
| John M Bramble | Diagnostic Radiology | Washakie Medical Center | 400 S 15th St, Worland, WY 82401-3531 |
| David Davenport | Certified Registered Nurse Anesthetist | Washakie Medical Center | 400 S 15th St, Worland, WY 82401-3531 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward D Zimmerman | Family Medicine | 316 N 10th St, Worland, WY 82401-2307 | |
| Jenny A Titus | Nurse Practitioner | 733 Big Horn Ave, Suite 1, Worland, WY 82401-2605 | |
| Bradley R Wilde | Chiropractic | Worland Chiropractic Clinic PC | 801 Robertson Ave, Worland, WY 82401-2717 |
| Jeffery B Butte | General Surgery | Banner Health Physicians West LLC | 1106 Big Horn Ave, Worland, WY 82401-2803 |
| Gregory S Stewart | Urology | 1106 Big Horn Ave, Worland, WY 82401-2803 | |
| Shantay Stallings | Physician Assistant | Banner Health Physicians West LLC | 1106 Big Horn Ave, Worland, WY 82401-2803 |
| Willard M Woods | Obstetrics/gynecology | Banner Health Physicians West LLC | 1106 Big Horn Ave, Worland, WY 82401-2803 |
| Joseph E Tritchler | Physician Assistant | Banner Health Physicians West LLC | 1106 Big Horn Ave, Worland, WY 82401-2803 |
| Gerald A Walker | Nurse Practitioner | Banner Health Physicians West LLC | 1106 Big Horn Ave, Worland, WY 82401-2803 |
| Mary H Woolsey | Nurse Practitioner | Banner Health Physicians West LLC | 1106 Big Horn Ave, Worland, WY 82401-2803 |
| Find all physicians in zip 82401 | |||
| City | WORLAND |
| Zip Code | 82401 |
| Specialty | NEUROSURGERY |
| City + Specialty | WORLAND + NEUROSURGERY |
Please comment or provide details below to improve the information on Glen J Poffenbarger.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.