| Lander Valley Physician Practices, Llc | |
|
830 Lincoln St Lander WY 82520-2736 | |
| (307) 332-9577 | |
| (307) 332-3106 |
| Full Name | Lander Valley Physician Practices, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 830 Lincoln St, Lander, Wyoming |
| Authorized Official Name and Position | Jess N Judy (PRESIDENT) |
| Authorized Official Contact | 6153728500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lander Valley Physician Practices, Llc 830 Lincoln St Lander WY 82520-2736 Ph: (307) 332-9577 | Lander Valley Physician Practices, Llc 830 Lincoln St Lander WY 82520-2736 Ph: (307) 332-9577 |
| NPI Number | 1215971510 |
|---|---|
| Provider Enumeration Date | 06/16/2006 |
| Last Update Date | 01/02/2013 |
| Medicare PECOS PAC ID | 5597657080 |
|---|---|
| Medicare Enrollment ID | O20040329000810 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215971510 | NPI | - | NPPES |
| 119703700 | Medicaid | WY |
| Provider Name | Frank R Wheeler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699701532 PECOS PAC ID: 5698768208 Enrollment ID: I20040407001165 |
| Provider Name | Donald A Gullickson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497840110 PECOS PAC ID: 6204804529 Enrollment ID: I20040923000529 |
| Provider Name | Gentian A Scheer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912093667 PECOS PAC ID: 0749250074 Enrollment ID: I20050708000833 |
| Provider Name | Justin L Hopkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972640225 PECOS PAC ID: 7719048164 Enrollment ID: I20081204000366 |
| Provider Name | Jan K Siebersma |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952303216 PECOS PAC ID: 3971651902 Enrollment ID: I20090501000150 |
| Provider Name | Ryan Firth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689847485 PECOS PAC ID: 5698820132 Enrollment ID: I20090904000014 |
| Provider Name | Todd M Bainter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427226034 PECOS PAC ID: 7618023508 Enrollment ID: I20090917000426 |
| Provider Name | David M Lind |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043231582 PECOS PAC ID: 4789632993 Enrollment ID: I20101021001101 |
| Provider Name | Lucase H Wang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316072788 PECOS PAC ID: 3577721919 Enrollment ID: I20120215000067 |
| Provider Name | Katherine Elisabeth Hoekstra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699858225 PECOS PAC ID: 2466433743 Enrollment ID: I20120302000353 |
| Provider Name | Clinton Mcmahill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245556190 PECOS PAC ID: 7810121019 Enrollment ID: I20131001000210 |
| Provider Name | James William Lloyd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588977250 PECOS PAC ID: 3779713821 Enrollment ID: I20140311001290 |
| Provider Name | Kimberly D Kearney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043613888 PECOS PAC ID: 1254656663 Enrollment ID: I20150205002281 |
| Provider Name | Sheila B Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306962709 PECOS PAC ID: 8224293394 Enrollment ID: I20150512001989 |
| Provider Name | Shalini G Forbis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326004391 PECOS PAC ID: 4183885700 Enrollment ID: I20160211000866 |
| Provider Name | Jill D Veber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235243973 PECOS PAC ID: 8325343270 Enrollment ID: I20160301002516 |
| Provider Name | Broc White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073856225 PECOS PAC ID: 9133341886 Enrollment ID: I20160722002444 |
| Provider Name | James H Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720162365 PECOS PAC ID: 4486620960 Enrollment ID: I20170608001608 |
| Provider Name | Celia Stenfors-dacre |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780895581 PECOS PAC ID: 5698665552 Enrollment ID: I20170612000643 |
| Provider Name | Todd Gunnar Holmes |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588720544 PECOS PAC ID: 4981627924 Enrollment ID: I20170614002822 |
| Provider Name | David Matthew Beaman Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710948799 PECOS PAC ID: 8921076340 Enrollment ID: I20170714002526 |
| Provider Name | Holly D Crosby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821178450 PECOS PAC ID: 8729345624 Enrollment ID: I20171201000379 |
| Provider Name | Katherine Garnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033471842 PECOS PAC ID: 5799081832 Enrollment ID: I20180917000313 |
| Provider Name | Debra Kontny |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346276516 PECOS PAC ID: 1759343254 Enrollment ID: I20191226000665 |
| Provider Name | Stephen J Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013940907 PECOS PAC ID: 0244123370 Enrollment ID: I20191231002410 |
| Provider Name | Gregory Renck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275645400 PECOS PAC ID: 2668557455 Enrollment ID: I20200423003056 |
| Provider Name | Joseph Hime |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528324811 PECOS PAC ID: 8123337201 Enrollment ID: I20200430000405 |
| Provider Name | Dwayne Narayan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083619951 PECOS PAC ID: 5597909192 Enrollment ID: I20200430002266 |
| Provider Name | Anupam Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861620254 PECOS PAC ID: 3870742281 Enrollment ID: I20200521001711 |
| Provider Name | Kelly W Ryder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083866651 PECOS PAC ID: 7719038512 Enrollment ID: I20200714001798 |
| Provider Name | Daniel Matthew Bender |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427585488 PECOS PAC ID: 6507284775 Enrollment ID: I20200921001566 |
| Provider Name | James Lamousin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043227606 PECOS PAC ID: 8022000215 Enrollment ID: I20201007000179 |
| Provider Name | J Cameron Kesler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225189020 PECOS PAC ID: 9931254059 Enrollment ID: I20210122000385 |
| Provider Name | Jourdan Aromin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598150955 PECOS PAC ID: 4082942776 Enrollment ID: I20210127002872 |
| Provider Name | Jeffrey F Liubicich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730576257 PECOS PAC ID: 4486957867 Enrollment ID: I20210302001612 |
| Provider Name | Grace Jackson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659460814 PECOS PAC ID: 4183760945 Enrollment ID: I20210420002650 |
| Provider Name | Elizabeth Lindley Marshall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528454956 PECOS PAC ID: 9133499593 Enrollment ID: I20220414001911 |
| Provider Name | Louisa Benson Mook |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710229810 PECOS PAC ID: 6901126036 Enrollment ID: I20220606001173 |
| Provider Name | Ajibola Babatunde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629573936 PECOS PAC ID: 0143570770 Enrollment ID: I20220711000540 |
| Provider Name | Denise A Helin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831207802 PECOS PAC ID: 9638203979 Enrollment ID: I20221101003296 |
| Provider Name | Donald Howser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750389425 PECOS PAC ID: 9234212432 Enrollment ID: I20221129002344 |
| Provider Name | Amir Ali Emami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295049260 PECOS PAC ID: 2264602515 Enrollment ID: I20230105000711 |
| Provider Name | Shana Eaglefeathers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235679796 PECOS PAC ID: 7113344821 Enrollment ID: I20230217001876 |
| Provider Name | Russell Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376573808 PECOS PAC ID: 1153212329 Enrollment ID: I20230404001898 |
| Provider Name | John A Indovina |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255420758 PECOS PAC ID: 8123118304 Enrollment ID: I20230503001115 |
| Provider Name | Maggie M Bonilla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649705492 PECOS PAC ID: 3577981141 Enrollment ID: I20230524001200 |
| Provider Name | Laura Gibbons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538656376 PECOS PAC ID: 0446505127 Enrollment ID: I20230908003143 |
| Provider Name | Patrick A Brighton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124050885 PECOS PAC ID: 7315922531 Enrollment ID: I20231005002057 |
| Provider Name | Ryan Lacey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083175244 PECOS PAC ID: 4688900350 Enrollment ID: I20240110000060 |
| Provider Name | Masud Habibullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285992602 PECOS PAC ID: 5294041893 Enrollment ID: I20240314003238 |
| Provider Name | Jerome Tuitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295197366 PECOS PAC ID: 8921393075 Enrollment ID: I20240323000189 |
| Provider Name | Ryan M Mccaffrey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437416898 PECOS PAC ID: 6103126446 Enrollment ID: I20240419002714 |
| Provider Name | Spiro Mavromates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790148260 PECOS PAC ID: 9436444577 Enrollment ID: I20240507003560 |
| Provider Name | Austin Alan Dopp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235580036 PECOS PAC ID: 1153730866 Enrollment ID: I20240507004369 |
New Day Counseling & Play Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 S 4th St, Lander, WY 82520 Phone: 307-438-3384 | |
Alternative Counseling Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Main Street, Suite 7, Lander, WY 82520 Phone: 307-332-4515 Fax: 307-332-4899 | |
Fremont Counseling Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 748 Main St, Lander, WY 82520 Phone: 307-332-2231 Fax: 307-332-9338 | |
Wyoming Mental Health Clinic, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 Mountain View Ct, Lander, WY 82520 Phone: 307-851-9360 | |
Cynthia B Stevens, Md, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 172 Rosewood Ave, Lander, WY 82520 Phone: 307-332-2417 Fax: 307-332-2417 | |
Pinnacle Behavior Solutions, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Indian Lookout Dr, Lander, WY 82520 Phone: 307-438-1039 |