Gary Noe, MD is a medicare enrolled "Family Medicine" physician in Lyman, Wyoming. His current practice location is
107 N Main St., Lyman, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 787-3313.
Gary Noe is licensed to practice in Wyoming (license number 3898A) 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 1417952391.
Physician's Profile
Full Name | Gary Noe |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 107 N Main St., Lyman, Wyoming |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417952391
- Provider Enumeration Date: 06/16/2005
- Last Update Date: 04/17/2013
Medicare PECOS Information:
- PECOS PAC ID: 2163548132
- Enrollment ID: I20100927001521
Medical Identifiers
Medical identifiers for Gary Noe such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417952391 | NPI | - | NPPES |
308484 | Other | TN | BCBS |
103803600 | Medicaid | WY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 3898A (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. Gary Noe allows following entities to bill medicare on his behalf.
Entity Name | Evanston Clinic Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013916519 PECOS PAC ID: 8325038094 Enrollment ID: O20040514000481 |
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Entity Name | Evanston Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013288836 PECOS PAC ID: 7113900358 Enrollment ID: O20040609001235 |
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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. Gary Noe 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 |
Gary Noe, MD Po Box 189, Lyman, WY 82937-0189 Ph: (307) 787-3313 | Gary Noe, MD 107 N Main St., Lyman, WY 82937 Ph: (307) 787-3313 |
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