Campbell County Medical Group - Internal Medicine Clinic - Medicare Primary Care in Gillette, WY

Campbell County Medical Group - Internal Medicine Clinic is a medicare enrolled primary clinic (Internal Medicine) in Gillette, Wyoming. The current practice location for Campbell County Medical Group - Internal Medicine Clinic is 501 S Burma Ave, 3s-intmed, Gillette, Wyoming. For appointments, you can reach them via phone at (307) 688-3636. The mailing address for Campbell County Medical Group - Internal Medicine Clinic is Po Box 392967, Pittsburgh, Pennsylvania and phone number is (307) 688-1482.

Campbell County Medical Group - Internal Medicine Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1710098868. 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) 688-3636.

Contact Information

Campbell County Medical Group - Internal Medicine Clinic
501 S Burma Ave
3s-intmed
Gillette
WY 82716-3426
(307) 688-3636
(307) 688-3640

Map and Direction


Primary Care Clinic Profile

Full NameCampbell County Medical Group - Internal Medicine Clinic
SpecialityInternal Medicine
Location501 S Burma Ave, Gillette, Wyoming
Authorized Official Name and PositionGerard Klein (COO)
Authorized Official Contact3076881551
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Campbell County Medical Group - Internal Medicine Clinic
Po Box 392967
Pittsburgh
PA 15251-9967

Ph: (307) 688-1482
Campbell County Medical Group - Internal Medicine Clinic
501 S Burma Ave
3s-intmed
Gillette
WY 82716-3426

Ph: (307) 688-3636

NPI Details:

NPI Number1710098868
Provider Enumeration Date08/31/2006
Last Update Date08/01/2023

Medicare PECOS Information:

Medicare PECOS PAC ID2860392529
Medicare Enrollment IDO20040206000510

Medical Identifiers

Medical identifiers for Campbell County Medical Group - Internal Medicine Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710098868NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal 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. Campbell County Medical Group - Internal Medicine Clinic acts as a billing entity for following providers:
Provider NameLaine C Russell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578552444
PECOS PAC ID: 5890691257
Enrollment ID: I20040428000812
Provider NameJonathan M Hayden
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1841242807
PECOS PAC ID: 6204897457
Enrollment ID: I20041021000662
Provider NameThomas O Mayer
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1104813930
PECOS PAC ID: 9638120546
Enrollment ID: I20050209000317
Provider NameKirtikumar L Patel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598755530
PECOS PAC ID: 3274585450
Enrollment ID: I20050216000159
Provider NameJohn Stamato
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1225080831
PECOS PAC ID: 7315988094
Enrollment ID: I20050512001091
Provider NameJudith Boyle
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1124062310
PECOS PAC ID: 8224949102
Enrollment ID: I20070309000058
Provider NameRobert Neuwirth
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891726626
PECOS PAC ID: 1254306020
Enrollment ID: I20070518000094
Provider NameSuzanne K Harris
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922023613
PECOS PAC ID: 2668436221
Enrollment ID: I20080918000019
Provider NameMark Walter
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1205910643
PECOS PAC ID: 6103858477
Enrollment ID: I20081031000047
Provider NameScott L Diering
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1083633465
PECOS PAC ID: 7719936988
Enrollment ID: I20081111000015
Provider NameJames A Ulibarri
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1578586269
PECOS PAC ID: 4789680539
Enrollment ID: I20090511000435
Provider NameKathryn J Schmidt Miller
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1891943593
PECOS PAC ID: 7719023977
Enrollment ID: I20091001000749
Provider NameMark E Wilson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1881608800
PECOS PAC ID: 4789589920
Enrollment ID: I20100702000267
Provider NameBrian E Austin
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1114016193
PECOS PAC ID: 2668667965
Enrollment ID: I20101112000059
Provider NameMark E Kellam
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1356346449
PECOS PAC ID: 7719951177
Enrollment ID: I20110301001079
Provider NameJavier Caldera-nieves
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1053358606
PECOS PAC ID: 6103885181
Enrollment ID: I20110302000386
Provider NameEugene K Gicheru
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1134144132
PECOS PAC ID: 9335185792
Enrollment ID: I20110303000255
Provider NameSukhpreit Kaur Sohi
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1477749190
PECOS PAC ID: 0244385367
Enrollment ID: I20110502000783
Provider NameAttila Barabas
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1285679670
PECOS PAC ID: 6507869658
Enrollment ID: I20110510000906
Provider NameStanley L Lawson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1235181157
PECOS PAC ID: 8820275498
Enrollment ID: I20110607000870
Provider NameMichael R Stolpe
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1164474375
PECOS PAC ID: 8022281419
Enrollment ID: I20111031000470
Provider NameStacey L Hastreiter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225324668
PECOS PAC ID: 1850564246
Enrollment ID: I20111031000571
Provider NameDaniel Scott Allen
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1619068897
PECOS PAC ID: 7911907027
Enrollment ID: I20111117000026
Provider NameTheodore G Lawson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1265483424
PECOS PAC ID: 3870769169
Enrollment ID: I20120109000647
Provider NameEric P Johnsrud
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1942399910
PECOS PAC ID: 3375439318
Enrollment ID: I20120510000312
Provider NameTimothy Dean Bohlender
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427151778
PECOS PAC ID: 7719930940
Enrollment ID: I20120706000558
Provider NameJessica F J Hughes
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1396981478
PECOS PAC ID: 8820260557
Enrollment ID: I20120815000053
Provider NameAmanda R Zuck
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1285972737
PECOS PAC ID: 5092955807
Enrollment ID: I20130627000724
Provider NameMary J Maymana
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1457558868
PECOS PAC ID: 3577759885
Enrollment ID: I20131009001009
Provider NameCollin O Mccloy
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1093070740
PECOS PAC ID: 4880821107
Enrollment ID: I20131212000851
Provider NameJames D Waters
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1669761912
PECOS PAC ID: 7113144783
Enrollment ID: I20140806000944
Provider NameChad A Bagley
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1346483666
PECOS PAC ID: 7214086925
Enrollment ID: I20140813000896
Provider NameSairav Shah
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1386614113
PECOS PAC ID: 9537137898
Enrollment ID: I20140904000897
Provider NameStanford Israelsen
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1093961179
PECOS PAC ID: 1153560610
Enrollment ID: I20140917001937
Provider NameNicholas J Stamato
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1801848593
PECOS PAC ID: 8628046760
Enrollment ID: I20141029001981
Provider NameBrahmananda K Koduri
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1659608214
PECOS PAC ID: 0547584427
Enrollment ID: I20150124000015
Provider NameAaron M Hall
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1952703241
PECOS PAC ID: 1355666520
Enrollment ID: I20150210001100
Provider NameRonit L Cohen
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1568679579
PECOS PAC ID: 4385779776
Enrollment ID: I20150218000295
Provider NameJudd Dawson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457431991
PECOS PAC ID: 8820142425
Enrollment ID: I20150319000913
Provider NameNathan D Tracey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770873531
PECOS PAC ID: 3476871476
Enrollment ID: I20150422001539
Provider NameRobert Grunfeld
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1225264344
PECOS PAC ID: 9830403617
Enrollment ID: I20150806013001
Provider NameGrace Hsuanhwa Wang
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1043324247
PECOS PAC ID: 7911897228
Enrollment ID: I20150923002697
Provider NameThomas B Repas
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1134180516
PECOS PAC ID: 8426039249
Enrollment ID: I20160201002742
Provider NameWhitney M Fevold
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558726711
PECOS PAC ID: 2163728791
Enrollment ID: I20160308002717
Provider NameEric S Sawyers
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1780686188
PECOS PAC ID: 3072750967
Enrollment ID: I20160425002433
Provider NameTyler L Dickey
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1295098416
PECOS PAC ID: 4486944469
Enrollment ID: I20160602002682
Provider NameJohn A Gall
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1679716153
PECOS PAC ID: 2769671965
Enrollment ID: I20160607000958
Provider NameChet G Jackson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1659712313
PECOS PAC ID: 8729222187
Enrollment ID: I20160608000957
Provider NameMichael Schlegel
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1740252220
PECOS PAC ID: 3072669621
Enrollment ID: I20160608002538
Provider NameJoan E Caragher
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1801940069
PECOS PAC ID: 6406932110
Enrollment ID: I20160630000488
Provider NameSundeep Ram
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083875132
PECOS PAC ID: 1456491026
Enrollment ID: I20160708001669
Provider NameRebecca Edwards
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1427404060
PECOS PAC ID: 6002102712
Enrollment ID: I20160907000375
Provider NameErica D Rinker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679860597
PECOS PAC ID: 5597914846
Enrollment ID: I20160915002565
Provider NameNatalie Christina Owens Sloan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497970479
PECOS PAC ID: 6002901360
Enrollment ID: I20161012001291
Provider NameSteven L Clements
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639412133
PECOS PAC ID: 9436384997
Enrollment ID: I20161019002500
Provider NameJon Kerr
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1609036094
PECOS PAC ID: 8325219462
Enrollment ID: I20161129000615
Provider NameBrenda J Engle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639375678
PECOS PAC ID: 8224121637
Enrollment ID: I20170320001418
Provider NamePauline M Lerma
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447334172
PECOS PAC ID: 1557325248
Enrollment ID: I20170329000800
Provider NameAmber Dawn Knuths
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1548794340
PECOS PAC ID: 2264700590
Enrollment ID: I20170609001367
Provider NameHeidi M Gillette
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1225564644
PECOS PAC ID: 5991073033
Enrollment ID: I20170614002139
Provider NameStephen Houmes
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1497168637
PECOS PAC ID: 9234402538
Enrollment ID: I20170908000532
Provider NameKatie Houmes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932513926
PECOS PAC ID: 0749509586
Enrollment ID: I20170911002693
Provider NameWhitney R Shawver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609398015
PECOS PAC ID: 4880969971
Enrollment ID: I20170928002487
Provider NameMicayla Jean Hinds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548510985
PECOS PAC ID: 7214180868
Enrollment ID: I20171018001438
Provider NameMichael S Nolledo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154367563
PECOS PAC ID: 7214969880
Enrollment ID: I20171024000868
Provider NameAnne M Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235656489
PECOS PAC ID: 4486910973
Enrollment ID: I20171116001759
Provider NameAmy E Hawk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104345404
PECOS PAC ID: 1153681978
Enrollment ID: I20180215001813
Provider NameRussell T Lauver
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1710121710
PECOS PAC ID: 9739342866
Enrollment ID: I20180219001277
Provider NameScott Wagner
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1861703613
PECOS PAC ID: 6103117031
Enrollment ID: I20180427000822
Provider NameDaniel G Kang
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1659532364
PECOS PAC ID: 3577740299
Enrollment ID: I20180629000279
Provider NameJulie Tippens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679016034
PECOS PAC ID: 4183907108
Enrollment ID: I20180716002305
Provider NameVivek Yarlagadda
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669836854
PECOS PAC ID: 2860740727
Enrollment ID: I20180808003961
Provider NameJessica A Ratledge
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1912224452
PECOS PAC ID: 5799902037
Enrollment ID: I20180823002213
Provider NameJoel Dennis Tuckett
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1487096434
PECOS PAC ID: 4486898004
Enrollment ID: I20180911000326
Provider NameAmanda Opfer
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1285021469
PECOS PAC ID: 3678839016
Enrollment ID: I20180911000861
Provider NameJames Bergene
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1508285909
PECOS PAC ID: 5294085106
Enrollment ID: I20180913001364
Provider NameDeanna L Lassegard
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1639558653
PECOS PAC ID: 4688963218
Enrollment ID: I20180914000767
Provider NameJared J Weishaar
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1295242907
PECOS PAC ID: 4789935073
Enrollment ID: I20180926000869
Provider NameRyan Thomas Gocke
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1992916449
PECOS PAC ID: 2163674532
Enrollment ID: I20181112001660
Provider NameNita R Engineer
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1447219852
PECOS PAC ID: 9335185677
Enrollment ID: I20181126002051
Provider NameBrent R Thurness
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1265424873
PECOS PAC ID: 7315975828
Enrollment ID: I20190104001058
Provider NameKeith Lynn Jackson
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1578728614
PECOS PAC ID: 9638352099
Enrollment ID: I20190128001285
Provider NameAnton Y. Jorgensen
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1841481975
PECOS PAC ID: 4284910282
Enrollment ID: I20190128002243
Provider NameCandi Hallermann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902370778
PECOS PAC ID: 4789910159
Enrollment ID: I20190723001265
Provider NameCassidy John Graham
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609139708
PECOS PAC ID: 3577787860
Enrollment ID: I20190910000357
Provider NameDaniel Bryan Rust
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1841844172
PECOS PAC ID: 2163752304
Enrollment ID: I20191001001755
Provider NameRichard Vo
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1932543881
PECOS PAC ID: 1153559067
Enrollment ID: I20191028001917
Provider NameDavid J Mohlman
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1477575686
PECOS PAC ID: 8527006766
Enrollment ID: I20191209002851
Provider NameDavid Ross Taylor
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1003358722
PECOS PAC ID: 5597041848
Enrollment ID: I20191213001305
Provider NameKyle Sabey
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1669851051
PECOS PAC ID: 9931415288
Enrollment ID: I20200224001961
Provider NameGaelen R Horne
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1003159146
PECOS PAC ID: 0042647323
Enrollment ID: I20200226001516
Provider NameJames Joseph Marr, Iii
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1801874151
PECOS PAC ID: 7315076668
Enrollment ID: I20200306001997
Provider NameYewande Adeshina
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346334596
PECOS PAC ID: 4880696582
Enrollment ID: I20200309002531
Provider NameDana Halbrooks
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1003837790
PECOS PAC ID: 6305890872
Enrollment ID: I20200316000336
Provider NameNicole Washington
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1942370267
PECOS PAC ID: 5698719920
Enrollment ID: I20200324002717
Provider NameByron J Peterson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1568716280
PECOS PAC ID: 4688807092
Enrollment ID: I20200406000629
Provider NameMary Noralee Wardrop
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1619261245
PECOS PAC ID: 3779711510
Enrollment ID: I20200512002949
Provider NameTeri Alberty
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1588851497
PECOS PAC ID: 6800979139
Enrollment ID: I20200626001766
Provider NameChristopher Neil Shores
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760988307
PECOS PAC ID: 9335498997
Enrollment ID: I20200729003523
Provider NameRoberta Pritchard
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1699903518
PECOS PAC ID: 9931472370
Enrollment ID: I20200811002595
Provider NameMeng Seth
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1689612657
PECOS PAC ID: 7719924711
Enrollment ID: I20200820000759
Provider NameAmanda L Nelson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1265703151
PECOS PAC ID: 0345400388
Enrollment ID: I20200918002484
Provider NameNikole Marie Lawrence
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417569732
PECOS PAC ID: 0941629612
Enrollment ID: I20200929003179
Provider NameSusan Wigetman
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1487979977
PECOS PAC ID: 1052441623
Enrollment ID: I20201009000790
Provider NameLila Jo Blakeman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386891562
PECOS PAC ID: 4587084652
Enrollment ID: I20201012002928
Provider NameJayme L Schaaf
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1124504634
PECOS PAC ID: 5092147967
Enrollment ID: I20201123002065
Provider NameRicky Lee Fisher
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1730176645
PECOS PAC ID: 0547403578
Enrollment ID: I20201130002488
Provider NameJanet J Sims
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1003147604
PECOS PAC ID: 9335550136
Enrollment ID: I20201201000018
Provider NameBreanna A Lien
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154704229
PECOS PAC ID: 3375849219
Enrollment ID: I20201216002406
Provider NameJennie Hooper
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1417395021
PECOS PAC ID: 6800017609
Enrollment ID: I20201221001467
Provider NameAnne Quasnitschka
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1508254806
PECOS PAC ID: 3577880277
Enrollment ID: I20210104002272
Provider NameScott M Sorenson
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1194950428
PECOS PAC ID: 0941515605
Enrollment ID: I20210113002924
Provider NameKathleen M Feeley
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1295735777
PECOS PAC ID: 2961445762
Enrollment ID: I20210126003572
Provider NameKyson Staheli
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1891383626
PECOS PAC ID: 1557775632
Enrollment ID: I20210201002181
Provider NameLyndsay M. Mcdonald
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730782657
PECOS PAC ID: 9335554336
Enrollment ID: I20210225002145
Provider NameAdam Crilly
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1245299460
PECOS PAC ID: 9537135918
Enrollment ID: I20210324000733
Provider NameMichael J Howard
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1881057495
PECOS PAC ID: 8022364322
Enrollment ID: I20210324002840
Provider NameJessica P Dalio
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1851603302
PECOS PAC ID: 4385888098
Enrollment ID: I20210413000638
Provider NameJustino Noel Dalio
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1689988909
PECOS PAC ID: 9830339696
Enrollment ID: I20210504002647
Provider NameKristopher Black
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1124265590
PECOS PAC ID: 6901962901
Enrollment ID: I20210804002948
Provider NameGaddiel Rios
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598746331
PECOS PAC ID: 8729095534
Enrollment ID: I20210909001140
Provider NameTricia M Jensen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962991943
PECOS PAC ID: 3173870136
Enrollment ID: I20210920003165
Provider NameAndrew Taecker
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1952830481
PECOS PAC ID: 5991075830
Enrollment ID: I20210921000501
Provider NameHetal Brahmbhatt
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1841283199
PECOS PAC ID: 7012958580
Enrollment ID: I20210921003747
Provider NameBrandon Madsen
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1265037741
PECOS PAC ID: 0941607378
Enrollment ID: I20210927003157
Provider NameKenneth Heffner
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1407379985
PECOS PAC ID: 9739500836
Enrollment ID: I20211006001764
Provider NameMichelle Stone
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1144547258
PECOS PAC ID: 0345481602
Enrollment ID: I20211008002653
Provider NameGerald Alan Wilde
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1902127376
PECOS PAC ID: 3375783509
Enrollment ID: I20211021001423
Provider NamePaul Mausling
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1760498513
PECOS PAC ID: 9537183892
Enrollment ID: I20211021001656
Provider NameEcho Ora Rose Downey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881296515
PECOS PAC ID: 2567850662
Enrollment ID: I20211021002698
Provider NameMark Liu
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1952539470
PECOS PAC ID: 0749613024
Enrollment ID: I20211027002687
Provider NameAshley Lynn Ferguson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659921609
PECOS PAC ID: 8224426887
Enrollment ID: I20211101001712
Provider NameJonathan Scott Miller
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1902940380
PECOS PAC ID: 0345548947
Enrollment ID: I20211102001774
Provider NameBrent Owen Allen
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1811573173
PECOS PAC ID: 5991194227
Enrollment ID: I20211108001950
Provider NameCharlotte Stark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174521702
PECOS PAC ID: 0042450793
Enrollment ID: I20211220002759
Provider NameJoshua Schultz
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1932723327
PECOS PAC ID: 5496179681
Enrollment ID: I20220105002614
Provider NameNicole Ann Larsen
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1336429190
PECOS PAC ID: 1850542432
Enrollment ID: I20220112001767
Provider NameCaesar Giovanni Loyo
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1932877735
PECOS PAC ID: 4385037456
Enrollment ID: I20220214000650
Provider NameJody Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306487566
PECOS PAC ID: 5597192450
Enrollment ID: I20220419000507
Provider NameBenjamin Lyman Jones
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1598961757
PECOS PAC ID: 6709273725
Enrollment ID: I20220421001795
Provider NameWilliam Yee
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1043259690
PECOS PAC ID: 2163589292
Enrollment ID: I20220421001937
Provider NameLonna Potter
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1538312590
PECOS PAC ID: 7810058195
Enrollment ID: I20220517001354
Provider NameSarah Frances Mcclure
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1700317047
PECOS PAC ID: 7214336817
Enrollment ID: I20220527000929
Provider NameNancy A Bergquist
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1336290683
PECOS PAC ID: 7214172436
Enrollment ID: I20220627002105
Provider NameAjibola Babatunde
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629573936
PECOS PAC ID: 0143570770
Enrollment ID: I20220711000540
Provider NameKurtsy Oswald
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1942760335
PECOS PAC ID: 0446585541
Enrollment ID: I20220808000609
Provider NameKayla Whitson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1700349040
PECOS PAC ID: 8628307733
Enrollment ID: I20220809004038
Provider NameJohn Bergin
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1073040382
PECOS PAC ID: 2466790118
Enrollment ID: I20220823003888
Provider NameAnna Francesca Schubert
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1134574080
PECOS PAC ID: 0143513044
Enrollment ID: I20220901000520
Provider NameBrandon T Mcguire
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1427634906
PECOS PAC ID: 8224437942
Enrollment ID: I20220901003426
Provider NameKara Mcmachen
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1376523126
PECOS PAC ID: 5193781326
Enrollment ID: I20220901003556
Provider NameRickay Marie Wolf
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023486016
PECOS PAC ID: 5496139867
Enrollment ID: I20220902001215
Provider NameJames Griggs
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194189282
PECOS PAC ID: 9234420910
Enrollment ID: I20220902001607
Provider NameWilliam Christie
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1306371869
PECOS PAC ID: 1850657198
Enrollment ID: I20220906002769
Provider NameJames Hall
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1073533956
PECOS PAC ID: 1658475843
Enrollment ID: I20220914003235
Provider NameAaron Kyle Bassett
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1841451259
PECOS PAC ID: 2668643792
Enrollment ID: I20220917000243
Provider NameEdward Bergin
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1982100988
PECOS PAC ID: 4587915061
Enrollment ID: I20220917000504
Provider NameAudrey Newell
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1891765327
PECOS PAC ID: 5698729648
Enrollment ID: I20220919002022
Provider NameGaurav Patel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023571379
PECOS PAC ID: 4981089240
Enrollment ID: I20220922001986
Provider NameKurt Robert Bolin
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1952397960
PECOS PAC ID: 6204204845
Enrollment ID: I20221201002047
Provider NameCody K Martini
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1659818706
PECOS PAC ID: 0143505594
Enrollment ID: I20221222002467
Provider NameAmir Ali Emami
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295049260
PECOS PAC ID: 2264602515
Enrollment ID: I20230105000711
Provider NameJason Signorelli
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1972035087
PECOS PAC ID: 1254684681
Enrollment ID: I20230124000713
Provider NameThomas Chweh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1073702361
PECOS PAC ID: 1557442852
Enrollment ID: I20230206002312
Provider NameStephanie Rosenthal
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1568795904
PECOS PAC ID: 2668510686
Enrollment ID: I20230207000493
Provider NameShana Eaglefeathers
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235679796
PECOS PAC ID: 7113344821
Enrollment ID: I20230217001876
Provider NameJohnathon A Berry
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1801091806
PECOS PAC ID: 6406039130
Enrollment ID: I20230222000694
Provider NameBrett M Shaffer
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1619187523
PECOS PAC ID: 2668644253
Enrollment ID: I20230222000925
Provider NameRyan Black
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1619024544
PECOS PAC ID: 2567472939
Enrollment ID: I20230222001084
Provider NameMegan Sampson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1770960288
PECOS PAC ID: 6709192123
Enrollment ID: I20230317000267
Provider NameNicholas James Koch
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1912326836
PECOS PAC ID: 0345510491
Enrollment ID: I20230321001863
Provider NameScott Jenson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1245684745
PECOS PAC ID: 7810245263
Enrollment ID: I20230328000383
Provider NameFelix Furman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1417968561
PECOS PAC ID: 8628096005
Enrollment ID: I20230330000616
Provider NameJeffrey Salisbury
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1891732277
PECOS PAC ID: 4688765597
Enrollment ID: I20230330001591
Provider NameAmy Anton
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1235392861
PECOS PAC ID: 2961683883
Enrollment ID: I20230404002603
Provider NameSarah Stark
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1841694940
PECOS PAC ID: 5698090785
Enrollment ID: I20230411001002
Provider NameScott D Burry
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1134196298
PECOS PAC ID: 7517861396
Enrollment ID: I20230412002134
Provider NameGilbert A Smith
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1508235359
PECOS PAC ID: 9931564259
Enrollment ID: I20230420001065
Provider NameCarey R Martens
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1598880833
PECOS PAC ID: 2062503782
Enrollment ID: I20230424001218
Provider NameLili Kelly
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1548488570
PECOS PAC ID: 1052419108
Enrollment ID: I20230428001253
Provider NameTarah B Browne
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1831490820
PECOS PAC ID: 8022269695
Enrollment ID: I20230512000983
Provider NamePatrick A Craddock
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1477518710
PECOS PAC ID: 1658308218
Enrollment ID: I20230526001293
Provider NameCharles Hollis
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1780903021
PECOS PAC ID: 9931375136
Enrollment ID: I20230609001298
Provider NameForest Walker
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1215248950
PECOS PAC ID: 0547484438
Enrollment ID: I20230609001908
Provider NameLeslie J Mclean
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1396753943
PECOS PAC ID: 8628157153
Enrollment ID: I20230615001255
Provider NameJeanie M Lembke
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922054279
PECOS PAC ID: 8325189715
Enrollment ID: I20230616003133
Provider NameKyle Smith
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1124550033
PECOS PAC ID: 8022353382
Enrollment ID: I20230628000692
Provider NameJonathan Christopher Lincoln
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1912387622
PECOS PAC ID: 6709192560
Enrollment ID: I20230628001469
Provider NameBraxton Fritz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215340781
PECOS PAC ID: 2567775216
Enrollment ID: I20230719002155
Provider NameAdam Andrews
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295048759
PECOS PAC ID: 0547431058
Enrollment ID: I20230720001711
Provider NameWilliam Pell Egbert
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1134684509
PECOS PAC ID: 9537529458
Enrollment ID: I20230724001618
Provider NameBrittney Goeken
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1679194054
PECOS PAC ID: 5395163422
Enrollment ID: I20230810002180
Provider NameMakenzie V Bartsch
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1093274011
PECOS PAC ID: 7214317171
Enrollment ID: I20230817003781
Provider NameJohn Andrew Brooks
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1528208097
PECOS PAC ID: 0143452383
Enrollment ID: I20230925000314
Provider NameDavid Myers
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1942668678
PECOS PAC ID: 0244539427
Enrollment ID: I20230929000044
Provider NameTracy Maceachern
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1083662449
PECOS PAC ID: 6002942455
Enrollment ID: I20230929001239
Provider NameLawrence Walters
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1760405856
PECOS PAC ID: 7113826645
Enrollment ID: I20231003003654
Provider NameHala Alsalhi
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1790246528
PECOS PAC ID: 1557744745
Enrollment ID: I20231116002403
Provider NameDarcy Rumberger Denegre
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1659683548
PECOS PAC ID: 8123269990
Enrollment ID: I20231116002658
Provider NameMatthew Garman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1699065227
PECOS PAC ID: 4688801921
Enrollment ID: I20231120003141
Provider NameRyan Stephanie Boothe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710629704
PECOS PAC ID: 1557711959
Enrollment ID: I20231227002936
Provider NameLeslie Mashak
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1457619439
PECOS PAC ID: 5799136388
Enrollment ID: I20240108005572
Provider NameSarah Catherine Clonch
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1659775880
PECOS PAC ID: 5698127785
Enrollment ID: I20240112004062
Provider NameCheryl Trembath
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1205373073
PECOS PAC ID: 3072956648
Enrollment ID: I20240210000712
Provider NameShannon Kolupaeva
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1255968954
PECOS PAC ID: 7315368891
Enrollment ID: I20240228003858
Provider NameCheryl Rae King
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1992061881
PECOS PAC ID: 3870938905
Enrollment ID: I20240228004305
Provider NameLauren Dusek
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649763376
PECOS PAC ID: 3476957853
Enrollment ID: I20240229001770
Provider NameKimberly Greenhill
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1578989737
PECOS PAC ID: 4880819382
Enrollment ID: I20240309000745
Provider NameJohn Lewis
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1083637086
PECOS PAC ID: 8325043938
Enrollment ID: I20240312000719
Provider NameBenjamin E Bergesen
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1881299246
PECOS PAC ID: 9638582935
Enrollment ID: I20240320000731
Provider NameClara Allen
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1710209994
PECOS PAC ID: 9436284577
Enrollment ID: I20240320000803
Provider NameChristopher Olson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1164641320
PECOS PAC ID: 7113912197
Enrollment ID: I20240326000592
Provider NameTyler Miller
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1487114310
PECOS PAC ID: 1658614177
Enrollment ID: I20240501003473
Provider NameJennifer Spears
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1255635207
PECOS PAC ID: 0345421327
Enrollment ID: I20240501003681
Provider NameLeon Adelman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1962649616
PECOS PAC ID: 7214115997
Enrollment ID: I20240501003726
Provider NameStacy Lepsch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871139857
PECOS PAC ID: 2365876992
Enrollment ID: I20240502001429
Provider NameThomas Geddings
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1184845026
PECOS PAC ID: 9032233796
Enrollment ID: I20240509003297
Provider NameTaylor Nix
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1780202176
PECOS PAC ID: 6709203227
Enrollment ID: I20240509004063
Provider NameBrittany Thrall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871350298
PECOS PAC ID: 7315388154
Enrollment ID: I20240510002999
Provider NameJacklyn Amy Baker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518721620
PECOS PAC ID: 9032550793
Enrollment ID: I20240513000387
Provider NameTheresa Keefer
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1477857274
PECOS PAC ID: 8628249000
Enrollment ID: I20240517003150
Provider NameThomas Holda
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740358282
PECOS PAC ID: 9335137124
Enrollment ID: I20240521003447
Provider NameKristine Tagwerker
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1588090005
PECOS PAC ID: 4880821297
Enrollment ID: I20240603001302

Reviews and Comments


Internal Medicine in Gillette, WY

Family Health
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 407 S Medical Arts Ct Ste D, Gillette, WY 82716
Phone: 307-686-0308    Fax: 307-686-7420
Family Medical Care Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 709 W 8th Street, Suite 4, Gillette, WY 82716
Phone: 307-682-3333    Fax: 307-682-6723
Wyoming Medical Associates, Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 51 Town Center Dr Ste 120, Gillette, WY 82718
Phone: 307-682-9962    Fax: 307-257-2930
Antelope Medical Consultants Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 430 S Medical Arts Ct, Gillette, WY 82716
Phone: 307-682-7661    Fax: 307-682-5074
Campbell County Clinics Family Practice
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 501 S Burma Ave, Gillette, WY 82716
Phone: 307-688-3636    Fax: 307-688-7920
R & R Chiropractic, Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 600 W 8th St, Gillette, WY 82716
Phone: 307-689-6277    
Hoskinson Health & Wellness Clinic Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 469 Highway 50, Gillette, WY 82718
Phone: 307-387-9850    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.