Gastroenterology Associates Pc | |
1441 Wilkins Circle Gastroenterology Associates Pc Capser WY 82601 | |
(307) 265-1792 | |
(307) 237-8106 |
Full Name | Gastroenterology Associates Pc |
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Speciality | Internal Medicine |
Location | 1441 Wilkins Circle, Capser, Wyoming |
Authorized Official Name and Position | Laura Jan Renemans (OFFICE MANAGER) |
Authorized Official Contact | 3072651792 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gastroenterology Associates Pc 1441 Wilkins Circle Gastroenterology Associates Pc Capser WY 82601 Ph: (307) 265-1792 | Gastroenterology Associates Pc 1441 Wilkins Circle Gastroenterology Associates Pc Capser WY 82601 Ph: (307) 265-1792 |
NPI Number | 1811909807 |
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Provider Enumeration Date | 08/12/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 8820902695 |
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Medicare Enrollment ID | O20031117000116 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811909807 | NPI | - | NPPES |
01132001 | Other | WY | BLUE CROSS |
C03968 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Phillip T Krmpotich |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1932219623 PECOS PAC ID: 8921912700 Enrollment ID: I20031118000154 |
Provider Name | Kent D Katz |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1578673265 PECOS PAC ID: 0749194512 Enrollment ID: I20031118000202 |
Provider Name | Eric Fredrick Meyer |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1982719589 PECOS PAC ID: 2466414495 Enrollment ID: I20070702000576 |
Provider Name | Tracy L Amadio |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265617724 PECOS PAC ID: 8426131863 Enrollment ID: I20080208000263 |
Provider Name | Sandra K Ham |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083881262 PECOS PAC ID: 9335210566 Enrollment ID: I20080917000882 |
Provider Name | Amanda Phillips |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1700885233 PECOS PAC ID: 5395795538 Enrollment ID: I20081010000681 |
Provider Name | Raoul Joubran |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1689784373 PECOS PAC ID: 1658285432 Enrollment ID: I20101026001226 |
Provider Name | Michael Ryan Johnson |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1336419969 PECOS PAC ID: 1557522687 Enrollment ID: I20120926000809 |
Provider Name | Richard Shawn Kinsey |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1659574127 PECOS PAC ID: 3476616624 Enrollment ID: I20140227002265 |
Provider Name | Karin D Berg |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1740220953 PECOS PAC ID: 5890790653 Enrollment ID: I20140227002267 |
Provider Name | Matthew A Wild |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1902882558 PECOS PAC ID: 9133021173 Enrollment ID: I20160415000515 |
Provider Name | Jamie Deann Mosbrucker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669822201 PECOS PAC ID: 6709179732 Enrollment ID: I20160727002596 |
Provider Name | Tracie Parsell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629588421 PECOS PAC ID: 1658638457 Enrollment ID: I20171204001807 |
Provider Name | Mark J Milone |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1881635803 PECOS PAC ID: 2062491301 Enrollment ID: I20171220001834 |
Provider Name | Bryce Robert Dougal |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1992027031 PECOS PAC ID: 2769516129 Enrollment ID: I20180720002257 |
Provider Name | Jonathan Parrack |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1043453046 PECOS PAC ID: 7214257898 Enrollment ID: I20190125002386 |
Provider Name | Aaron Mcclellan |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1881016822 PECOS PAC ID: 6204067903 Enrollment ID: I20190204001643 |
Provider Name | Julien Fahed |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1306287370 PECOS PAC ID: 5294958864 Enrollment ID: I20190730002793 |
Provider Name | Chad J Cooper |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1770876229 PECOS PAC ID: 5799087953 Enrollment ID: I20190812002693 |
Provider Name | Daniel Bryan Rust |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1841844172 PECOS PAC ID: 2163752304 Enrollment ID: I20191001001755 |
Provider Name | Sally A Reichert |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1487769717 PECOS PAC ID: 0941196661 Enrollment ID: I20200114002503 |
Provider Name | Allison Odato Armitage |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760074322 PECOS PAC ID: 4082021720 Enrollment ID: I20210325001587 |
Provider Name | Antonia M Turner |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1518926674 PECOS PAC ID: 6800165127 Enrollment ID: I20210625000348 |
Provider Name | Jeremy Carlisle |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1437398229 PECOS PAC ID: 4284781659 Enrollment ID: I20220516000348 |
Provider Name | Sahar Samaha |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1619044898 PECOS PAC ID: 6709950710 Enrollment ID: I20220701002000 |
Provider Name | Molly Adami |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285356857 PECOS PAC ID: 2163891029 Enrollment ID: I20221227000864 |
Provider Name | Eric Gillies |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417620618 PECOS PAC ID: 3971976713 Enrollment ID: I20230227001814 |
Provider Name | Molly Florence Rodrick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497443089 PECOS PAC ID: 1153783196 Enrollment ID: I20230808003293 |