| Digestive Care Specialists, Llc | |
|
1026 E 2nd St Casper WY 82601-2902 | |
| (307) 333-0002 | |
| (307) 333-4425 |
| Full Name | Digestive Care Specialists, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1026 E 2nd St, Casper, Wyoming |
| Authorized Official Name and Position | Jeffrey W Cloud (OWNER) |
| Authorized Official Contact | 3073157995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Care Specialists, Llc Po Box 51670 Casper WY 82605-1670 Ph: (307) 315-7995 | Digestive Care Specialists, Llc 1026 E 2nd St Casper WY 82601-2902 Ph: (307) 333-0002 |
| NPI Number | 1336799121 |
|---|---|
| Provider Enumeration Date | 09/13/2019 |
| Last Update Date | 04/06/2020 |
| Medicare PECOS PAC ID | 7113356643 |
|---|---|
| Medicare Enrollment ID | O20200406000285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336799121 | NPI | - | NPPES |
| 1518179126 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Anna Marie Knopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245436609 PECOS PAC ID: 5597895201 Enrollment ID: I20100607000513 |
| Provider Name | Richard Shawn Kinsey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659574127 PECOS PAC ID: 3476616624 Enrollment ID: I20140227002265 |
| Provider Name | Tracie Parsell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629588421 PECOS PAC ID: 1658638457 Enrollment ID: I20171204001807 |
| Provider Name | Jeffrey W Cloud |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518179126 PECOS PAC ID: 4981755170 Enrollment ID: I20200406000436 |
| Provider Name | William Scovell Shear |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053523878 PECOS PAC ID: 8224277025 Enrollment ID: I20201002002797 |
| Provider Name | William Jay Cobell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023281441 PECOS PAC ID: 5193969632 Enrollment ID: I20220412001360 |
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