Kelly Gebauer, in Cheyenne, WY - Medicare Nurse Practitioner

Kelly Gebauer, is a medicare enrolled "Nurse Practitioner" in Cheyenne, Wyoming. Her current practice location is 6015 Sycamore Rd, Cheyenne, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 634-9919.

Kelly Gebauer is licensed to practice in Wyoming (license number 47173) 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 1356964464.

Contact Information

	Kelly Gebauer,
	6015 Sycamore Rd, Cheyenne, WY 82009-4347
	(307) 634-9919
	(307) 426-4643

Map and Direction

Provider's Profile

Full Name	Kelly Gebauer
Gender	Female
Speciality	Nurse Practitioner
Location	6015 Sycamore Rd, Cheyenne, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356964464
Provider Enumeration Date: 05/22/2020
Last Update Date: 05/13/2021

Medicare PECOS Information:

PECOS PAC ID: 0840692596
Enrollment ID: I20210716002411

Medical Identifiers

Medical identifiers for Kelly Gebauer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356964464	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WW0101X	Registered Nurse - Women's Health Care, Ambulatory	22963 (Wyoming)	Secondary
363L00000X	Nurse Practitioner	47173 (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. Kelly Gebauer allows following entities to bill medicare on her behalf.

Entity Name	Healthy Lifestyle Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912478819 PECOS PAC ID: 3577802941 Enrollment ID: O20190301000090

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. Kelly Gebauer 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
Kelly Gebauer, 6015 Sycamore Rd, Cheyenne, WY 82009-4347 Ph: (307) 634-9919	Kelly Gebauer, 6015 Sycamore Rd, Cheyenne, WY 82009-4347 Ph: (307) 634-9919

Reviews and Comments

Nurse Practitioner Nurses in Cheyenne, WY

Christy Marie Burd, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2029 Bluegrass Cir Ste 200, Cheyenne, WY 82009 Phone: 307-638-8975
Mrs. Diane E Hattel, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3235 Sparks Rd, Suite 200, Cheyenne, WY 82001 Phone: 307-638-8975 Fax: 307-634-9267
Penny Marie Sanderson, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 Dell Range Blvd, Cheyenne, WY 82009 Phone: 307-630-4729 Fax: 307-632-3298
Julian Good, FNP, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 W 29th St, Cheyenne, WY 82001 Phone: 330-763-2936 Fax: 307-637-6852
Daniel Taylor West, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 214 E 23rd St, Cheyenne, WY 82001 Phone: 307-634-2273
Jannene Sneddon Sebesta, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 214 E 23rd St, Cheyenne, WY 82001 Phone: 307-633-7952 Fax: 307-633-7018
Megan Lynn Bade, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 611 E Carlson St Ste 102, Cheyenne, WY 82009 Phone: 307-316-5026

Kelly Gebauer, - Medicare Nurse Practitioner in Cheyenne, WY