Lars T Conway, MD is a medicare enrolled "Pathology - Anatomic Pathology" physician in Jackson, Wyoming. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1977 and has 47 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Incyte Pathology Ps and his current practice location is
625 E Broadway Ave, Jackson, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 733-6418.
Lars T Conway is licensed to practice in Wyoming (license number 9164A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679534432.
Physician's Profile
| Full Name | Lars T Conway |
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| Gender | Male |
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| Speciality | Pathology |
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| Experience | 47 Years |
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| Location | 625 E Broadway Ave, Jackson, Wyoming |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lars T Conway attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1977
NPI Data:
- NPI Number: 1679534432
- Provider Enumeration Date: 03/31/2006
- Last Update Date: 11/20/2020
Medicare PECOS Information:
- PECOS PAC ID: 8224021415
- Enrollment ID: I20220114001323
Medical Identifiers
Medical identifiers for Lars T Conway such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679534432 | NPI | - | NPPES |
| 220007425 | Other | MN | RR MEDICARE |
| 936780200 | Medicaid | MN | |
| 03069C0 | Other | MN | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZC0500X | Pathology - Cytopathology | 27443 (Minnesota) | Secondary |
| 207ZP0101X | Pathology - Anatomic Pathology | 27443 (Minnesota) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | M-12068 (Idaho) | Secondary |
| 207ZP0101X | Pathology - Anatomic Pathology | 9164A (Wyoming) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Incyte Pathology Ps | 9638067945 | 40 |
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. Lars T Conway allows following entities to bill medicare on his behalf.
| Entity Name | Incyte Pathology Ps |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326086745
PECOS PAC ID: 9638067945
Enrollment ID: O20040309000085 |
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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. Lars T Conway 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 |
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Lars T Conway, MD
Po Box 4940, 625 E Broadway,
Jackson, WY 83001-4940
Ph: (307) 733-6418 | Lars T Conway, MD
625 E Broadway Ave,
Jackson, WY 83001-8642
Ph: (307) 733-6418 |
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