307 Longevity Pc in Cody, WY - Medicare Clinic/Center

307 Longevity Pc is a medicare enrolled primary clinic (Clinic/center) in Cody, Wyoming. The current practice location for 307 Longevity Pc is 1120 Beck Ave, Cody, Wyoming. For appointments, you can reach them via phone at (307) 527-0355. The mailing address for 307 Longevity Pc is Po Box 308, Wapiti, Wyoming and phone number is (307) 899-0009.

307 Longevity Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1316783673. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (307) 527-0355.

Contact Information

	307 Longevity Pc
	1120 Beck Ave Cody WY 82414-3624
	(307) 527-0355
	(307) 527-0360

Map and Direction

Primary Care Clinic Profile

Full Name	307 Longevity Pc
Speciality	Clinic/Center
Location	1120 Beck Ave, Cody, Wyoming
Authorized Official Name and Position	Christopher Thoma (OWNER)
Authorized Official Contact	3078990009
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
307 Longevity Pc Po Box 308 Wapiti WY 82450-0308 Ph: (307) 899-0009	307 Longevity Pc 1120 Beck Ave Cody WY 82414-3624 Ph: (307) 527-0355

NPI Details:

NPI Number	1316783673
Provider Enumeration Date	07/06/2024
Last Update Date	07/06/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	8325572365
Medicare Enrollment ID	O20241113001050

Medical Identifiers

Medical identifiers for 307 Longevity Pc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316783673	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. 307 Longevity Pc acts as a billing entity for following providers:

Provider Name	Christopher Franklin Thoma
Provider Type	Practitioner - Chiropractic
Provider Identifiers	NPI Number: 1679942775 PECOS PAC ID: 9032427604 Enrollment ID: I20241113001132

Reviews and Comments

Clinic/Center in Cody, WY

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307 Longevity Pc - Medicare Primary Care in Cody, WY