Makayla Marie Wynn, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Kemmerer, Wyoming. Her current practice location is
711 Onyx St, Kemmerer, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 877-4401.
Makayla Marie Wynn is licensed to practice in Wyoming (license number 52717) 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 1457135899.
Provider's Profile
| Full Name | Makayla Marie Wynn |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 711 Onyx St, Kemmerer, Wyoming |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1457135899
- Provider Enumeration Date: 08/24/2023
- Last Update Date: 03/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688024995
- Enrollment ID: I20231228003869
Medical Identifiers
Medical identifiers for Makayla Marie Wynn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457135899 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 52717 (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. Makayla Marie Wynn allows following entities to bill medicare on her behalf.
| Entity Name | South Lincoln Hospital District |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1972743011
PECOS PAC ID: 2961490057
Enrollment ID: O20090316000211 |
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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. Makayla Marie Wynn 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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Makayla Marie Wynn, APRN, FNP-C
419 Laramie St,
Evanston, WY 82930-9104
Ph: (307) 679-5287 | Makayla Marie Wynn, APRN, FNP-C
711 Onyx St,
Kemmerer, WY 83101-3214
Ph: (307) 877-4401 |
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