Pinedale Medical Clinic - Medicare Primary Care in Pinedale, WY

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Pinedale Medical Clinic is a medicare enrolled primary clinic (Family Medicine) in Pinedale, Wyoming. The current practice location for Pinedale Medical Clinic is 625 E Hennick, Pinedale, Wyoming. For appointments, you can reach them via phone at (307) 367-4133. The mailing address for Pinedale Medical Clinic is Po Box 787, Big Piney, Wyoming and phone number is (307) 276-4451.

Pinedale Medical Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1194776930. 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) 367-4133.

Contact Information

Pinedale Medical Clinic
625 E Hennick
Pinedale
WY 82941
(307) 367-4133
(307) 367-6636

Map and Direction


Primary Care Clinic Profile

Full NamePinedale Medical Clinic
SpecialityFamily Medicine
Location625 E Hennick, Pinedale, Wyoming
Authorized Official Name and PositionLorraine Diane Gatzke (CFO)
Authorized Official Contact3072764451
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pinedale Medical Clinic
Po Box 787
Big Piney
WY 83113-0787

Ph: (307) 276-4451		Pinedale Medical Clinic
625 E Hennick
Pinedale
WY 82941

Ph: (307) 367-4133

NPI Details:

NPI Number1194776930
Provider Enumeration Date05/15/2006
Last Update Date02/10/2011

Medicare PECOS Information:

Medicare PECOS PAC ID3476535014
Medicare Enrollment IDO20050708000681

Medical Identifiers

Medical identifiers for Pinedale Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194776930NPI-NPPES
121421700MedicaidWY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207R00000XInternal Medicine (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Pinedale Medical Clinic acts as a billing entity for following providers:
Provider NameLeslie Hagenstein
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093799132
PECOS PAC ID: 4981600624
Enrollment ID: I20061019000596
Provider NameJames P Demetriou
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447298583
PECOS PAC ID: 3779550280
Enrollment ID: I20080415000568
Provider NameLance R Petersen
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1245303429
PECOS PAC ID: 3072401959
Enrollment ID: I20090205000472
Provider NameCharlotte R Mason
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710069273
PECOS PAC ID: 0648252585
Enrollment ID: I20110210001004
Provider NameKeri L Hull
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225409477
PECOS PAC ID: 6800199431
Enrollment ID: I20160114001870
Provider NameRenae Dorrity
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629293055
PECOS PAC ID: 3971657768
Enrollment ID: I20171129003221

Reviews and Comments


Family Medicine in Pinedale, WY

High Country Behavioral Health
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 24 Country Club Lane, Pinedale, WY 82941
Phone: 307-367-2111    Fax: 307-367-2166
Pinedale Medical Clinic
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 625 E Hennick St, Pinedale, WY 82941
Phone: 307-367-4133    
High Country Behavioral Health
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 24 Country Club Lane, Pinedale, WY 82941
Phone: 307-367-2111    Fax: 307-367-2166

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.