Cody Clinic in Cody, WY - Medicare Internal Medicine

Cody Clinic is a medicare enrolled primary clinic (Internal Medicine) in Cody, Wyoming. The current practice location for Cody Clinic is 2107 Sheridan Avenue, Cody, Wyoming. For appointments, you can reach them via phone at (307) 586-5303. The mailing address for Cody Clinic is Po Box 727, Cody, Wyoming and phone number is (307) 586-5303.

Cody Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1104422237. 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) 586-5303.

Contact Information

	Cody Clinic
	2107 Sheridan Avenue Cody WY 82414
	(307) 586-5303
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Cody Clinic
Speciality	Internal Medicine
Location	2107 Sheridan Avenue, Cody, Wyoming
Authorized Official Name and Position	Judd L Larowe (PRESIDENT)
Authorized Official Contact	3075865303
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Cody Clinic Po Box 727 Cody WY 82414-0727 Ph: (307) 586-5303	Cody Clinic 2107 Sheridan Avenue Cody WY 82414 Ph: (307) 586-5303

NPI Details:

NPI Number	1104422237
Provider Enumeration Date	12/04/2020
Last Update Date	02/17/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	2163836917
Medicare Enrollment ID	O20210206000039

Medical Identifiers

Medical identifiers for Cody Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104422237	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	(* (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. Cody Clinic acts as a billing entity for following providers:

Provider Name	Judd Lane Larowe
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1346239548 PECOS PAC ID: 1759350481 Enrollment ID: I20181205000750

Reviews and Comments

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Cody Clinic - Medicare Primary Care in Cody, WY