Dr Ann H Thedieck, MD - Medicare Family Medicine in Green River, WY

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Dr Ann H Thedieck, MD is a medicare enrolled "Family Medicine" physician in Green River, Wyoming. Her current practice location is 1400 Uinta Dr, Green River, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 872-4500.

Dr Ann H Thedieck is licensed to practice in Wyoming (license number 6716A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073569745.

Contact Information

Dr Ann H Thedieck, MD
1400 Uinta Dr,
Green River, WY 82935-5046
(307) 872-4500
(307) 872-4595

Map and Direction




Physician's Profile

Full NameDr Ann H Thedieck
GenderFemale
SpecialityFamily Medicine
Location1400 Uinta Dr, Green River, Wyoming
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073569745
  • Provider Enumeration Date: 05/25/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4789650730
  • Enrollment ID: I20160126000441

Medical Identifiers

Medical identifiers for Dr Ann H Thedieck such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073569745NPI-NPPES
313158OtherWYBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 6716A (Wyoming)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ann H Thedieck allows following entities to bill medicare on her behalf.
Entity NameQuentin N Burdick Comprehensive Health Care Facility
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952346934
PECOS PAC ID: 5496651853
Enrollment ID: O20031208001052
Entity NamePine Ridge Indian Health Service Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497786412
PECOS PAC ID: 4688571326
Enrollment ID: O20031218000966

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 Ann H Thedieck 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 AddressPractice Location Address
Dr Ann H Thedieck, MD
Po Box 219,
Green River, WY 82935-0219

Ph: (307) 872-4500		Dr Ann H Thedieck, MD
1400 Uinta Dr,
Green River, WY 82935-5046

Ph: (307) 872-4500

Reviews and Comments


Family Medicine Doctors in Green River, WY

Dr. Lynn Perrins Eskelson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1400 Uinta Dr, Green River, WY 82935
Phone: 307-872-4500    Fax: 307-872-4595
Dr. John Stephen Sloan, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1400 Uinta Dr, Green River, WY 82935
Phone: 307-872-4500    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.