- Medicare Primary Care in Glenrock, WY

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is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Glenrock, Wyoming. The current practice location for is 925 W Birch St, Glenrock, Wyoming. For appointments, you can reach them via phone at (307) 436-9206. The mailing address for is Po Box 786, Glenrock, Wyoming and phone number is (307) 436-9206.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1093758161. 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) 436-9206.

Contact Information

925 W Birch St
Glenrock
WY 82637-0786
(307) 436-9206
(307) 436-9730

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location925 W Birch St, Glenrock, Wyoming
Authorized Official Name and PositionAshley Marie Oviedo-lopez (ADMINISTRATOR)
Authorized Official Contact3074369206
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 786
Glenrock
WY 82637-0786

Ph: (307) 436-9206
925 W Birch St
Glenrock
WY 82637-0786

Ph: (307) 436-9206

NPI Details:

NPI Number1093758161
Provider Enumeration Date06/14/2006
Last Update Date01/29/2025

Medicare PECOS Information:

Medicare PECOS PAC ID8527976828
Medicare Enrollment IDO20040604000855

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093758161NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Secondary
261QR1300XClinic/center - Rural Health (* (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. acts as a billing entity for following providers:
Provider NameJoseph E Mickelson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467448043
PECOS PAC ID: 2668365008
Enrollment ID: I20050822000307
Provider NameDonald L Coulter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093248114
PECOS PAC ID: 6507135076
Enrollment ID: I20170627002495
Provider NameAudrey N Mathson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1477044261
PECOS PAC ID: 9032464011
Enrollment ID: I20180614002217
Provider NameAshley M Oviedo Lopez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841797461
PECOS PAC ID: 1456699446
Enrollment ID: I20200618000442

Reviews and Comments


Clinic/Center in Glenrock, WY


Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 525 East Birch Street, Glenrock, WY 82637
Phone: 307-436-8838    Fax: 307-436-2476

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.